About
Removal of most of the parathyroid tissue. If all of the tissue is removed, the client may need lifelong calcium and vitamin D supplements if other methods fail to maintain secretion of the parathyroid hormones.
Assess
Observe for respiratory distress, swelling, hemorrhage, vital signs. Observe for signs of hypocalcemia.
Complications
Hypoparathyroidism; respiratory distress; hypocalcemia
Diagnosis
- Acute pain related to muscle cramps, spasms, or tetany
- Acute pain related to tissue trauma from surgical procedure
Goals
- The client will understand pre-, intra-, and post-operative instructions.
- The client will remain free from injury and complications.
Interventions
- Assess client's understanding of surgical procedure and post-care.
- Teach client, pre-operatively, what to expect after surgery and necessary interventions to minimize complications.
- Monitor for post-operative complications.
- Teach client coughing and deep breathing exercises.
- Maintain a semi-fowler's position.
- Suction secretions as needed.
- Administer medications ( analgesics, etc.) as ordered.
- Encourage neck support during movement.
- Monitor for signs/ symptoms of complications.
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