{"id":19,"date":"2013-10-14T01:55:11","date_gmt":"2013-10-14T01:55:11","guid":{"rendered":"http:\/\/www.modestosurgery.com\/surgeryblog\/?p=19"},"modified":"2013-10-14T02:13:11","modified_gmt":"2013-10-14T02:13:11","slug":"post-operative-hypocalcemia","status":"publish","type":"post","link":"http:\/\/www.modestosurgery.com\/surgeryblog\/post-operative-hypocalcemia\/","title":{"rendered":"Post operative hypocalcemia"},"content":{"rendered":"<h2>Low Calcium after thyroidectomy<\/h2>\n<ul>\n<li>Most common complication after total or near total thyroidectomy is hypocalcemia due to hypoparathyroidism. \u00a0Post thyroidectomy hypoparathyroidism is usually related to disruption of the blood supply to parathyroid glands.<\/li>\n<li>A patient needs only a single healthy parathyroid gland to have normal parathyroid function.<\/li>\n<\/ul>\n<h3>Symptoms of hypocalcemia<\/h3>\n<ul>\n<li>Could be asymptomatic or show up as:<\/li>\n<li>mild paresthesias<\/li>\n<li>Painful tentany<\/li>\n<li>muscle aches<\/li>\n<li>weakness or twitching<\/li>\n<li>Larngeal spasm<\/li>\n<li>Arrythmia<\/li>\n<\/ul>\n<h3>PTH<\/h3>\n<ul>\n<li>Parathyroid hormone measurement after surgery. \u00a0Possibly consider this protocol. \u00a0If less than 10 (pg\/ML) supplement with calcium and calcitriol. \u00a0If between 10-20 supplement with calcium. \u00a0If greater than 20 &#8211; then no supplementation.<\/li>\n<li>PTH is secreted by the chief cells of the parathyroid gland.<\/li>\n<li>Acts to increase the concentration of calcium in the blood<\/li>\n<li>PTH half life is about 4 minutes.<\/li>\n<\/ul>\n<h3>what is Calcitriol?<\/h3>\n<ul>\n<li>Hormonally active form of vitamin D.<\/li>\n<li>After thyroidectomy, supplimentation with Calcitriol may supress PTH levels.<\/li>\n<\/ul>\n<h3>A main reason for hospitalization overnight after \u00a0total thyroidectomy<\/h3>\n<p>To monitor for the risk of hypocalcemia.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Low Calcium after thyroidectomy Most common complication after total or near total thyroidectomy is hypocalcemia due to hypoparathyroidism. \u00a0Post thyroidectomy hypoparathyroidism is usually related to disruption of the blood supply to parathyroid glands. A patient needs only a single healthy parathyroid gland to have normal parathyroid function. Symptoms of hypocalcemia Could be asymptomatic or show &hellip; <a href=\"http:\/\/www.modestosurgery.com\/surgeryblog\/post-operative-hypocalcemia\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Post operative hypocalcemia<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23,24,25,22],"tags":[26,27],"class_list":["post-19","post","type-post","status-publish","format-standard","hentry","category-endocrine","category-hypocalcemia","category-parathyroid-hormone","category-thyroid","tag-overnight-hospitalization","tag-vitamin-d"],"_links":{"self":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/19","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/comments?post=19"}],"version-history":[{"count":4,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/19\/revisions"}],"predecessor-version":[{"id":24,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/19\/revisions\/24"}],"wp:attachment":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/media?parent=19"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/categories?post=19"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/tags?post=19"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}