Nursing care of patient secondary hyperparathyroidism and received the total parathyroidectomy

Abstract

The objective of this study was to problems, needs, and nursing care of patients with secondary hyperparathyroidism who received total parathyroidectomy. The study was between April 16, 2023, to September 30, 2023. Data were collected from medical records, patient and family interviews, as well as observation and used to formulate nursing diagnoses according to the clinical reasoning processes, and nursing care plan and evaluate nursing results.

The result of the study found that the nursing care plan in the preoperative period had an important nursing diagnosis the patient had high calcium levels in the blood due to increased parathyroid hormone, important nursing practices include evaluating the signs and symptoms of severe hypercalcemia and ensuring the patient receives vitamin D and hemodialysis according to the treatment plan, in the postoperative period an important nursing diagnosis was that the patient had low calcium levels in the blood due to decreased, important nursing practices include evaluating the signs and symptoms of severe hypocalcemia and patient received vitamin D. There is Atrial fibrillation due to vitamin D deficiency in no active form, important nursing practices include evaluating the signs and symptoms of cardiac output is insufficient to circulate the blood the body needs, nursing care to receive antiarrhythmic drug and vitamin D. These nursing diagnoses are eliminated. There are still only nursing diagnoses of end-stage chronic kidney disease, such as uremia and anemia which must be continued treatment, recommended behavior, and follow-up.

The result of this study should be a nursing care plan in this case study keeping patient safe from the pathology of disease and preventing complications. Therefore, it should be used in another patient in this group, to improve the quality of nursing care.

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*Professional registered nurse, Nursing Department, Somdetphraphutthaloetla Hospital,

 Samutsongkhram province