Topic 6 The Child with Endocrine Dysfunction P2

• What does the parathyroid do?

  Maintain serum calcium level with vitamin D.
• How does the PTH manage calcium levels?

  Increases absorption of calcium in GI tract but excretion of phosphate by kidneys.
• What are signs of hypoparathyroidism?

  Muscle cramps (EARLY), dry and scaly skin with eruptions, brittle hair and thin nails with transverse grooves, tetany, paresthesias, seizures, low plasma PTH.
• Hypoparathyroidism is associated with poor growth in children.
• How is tetany corrected with hypoparathyroidism?

  Calcium.
• What must be available nearby when dealing with a patient who has hypoparathyroidism?

  Tracheostomy set.
• What are signs of Vitamin D toxicity?

  Weakness, fatigue, lassitude, headache.
• What precautions are in place for hypoparathyroidism?

  Seizures and safety.
• What kind of unit with a patient with DKA be in?

  Intensive Care Unit.
• What four different tests confirm DM and what results should they be?

  • 8 hour fasting glucose of 126
  • Random BG of 200 or more
  • Oral glucose of 200 or more in a 2 hour sample
  • HgA1C of 6.5% or more