Nursing care to hemodialysis patients with hypocalcemia after parathyroiddectomy
10.3969/j.issn.1671-8283.2017.05.006
- VernacularTitle:难治性继发性甲状旁腺功能亢进症血液透析患者术后低钙血症的护理
- Author:
Wei HUANG
;
Jiayi HUANG
;
Haidong HUANG
;
Shunjie CHEN
- Keywords:
hemodialysis patients;
refractory secongary hyperparathyroidectomy;
hypocalcemia;
nursing
- From:
Modern Clinical Nursing
2017;16(5):21-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the postoperative care to hemodialysis patients with hypocalcemia after parathyroidectomy with refractory secondary hyperparathyroidism. Methods The nursing measures included timely correction of hypocalcemia, nursing of muscular spasm, dietary nursing and rational medication. Five of them developed numbness in the limbs, which was alleviated by administration of venous transfusion of calcium gluconate. After six months, the blood calcium in 6 patients resumed to normal level. For 1 case with lower blood calcium, the level of blood calcium maintained at 1.8~2.0mmol/L after supplement with high dose of calcium and high -calcium hemodialysis. Conclusions The hemodialysis patients with refractory secondary hyperparathyroidism after parathyroiddectomy are susceptible to hypocalcemia. The timely correction of hypocalcemia and related nursing measures are of significance for their recovery.
