Hypoparathyroidism NCLEX nursing review of hypoparathyroidism pathophysiology, symptoms, causes, and nursing interventions. Hypoparathyroid is the low production of parathyroid hormone by the parathyroid gland. This parathyroid disorder leads to hypocalcemia and hyperphosphatemia. Signs and symptoms of hypoparathyroidism include paresthesia, positive Trousseau and Chvostek's sign, tetany, and lab values that reflect hypocalcemia and hyperphosphatemia. Causes of this parathyroidism disorder include thyroidectomy, low magnesium level (hypomagnesemia), autoimmune, or the body is resistant to PTH (parathyroid hormone). Nursing interventions include monitoring airway, lab levels, vital signs, initiating seizure precautions, ensuring high calcium and low phosphate diet, and administering medications as prescribed by the doctor. The goals of medication treatment in hypoparathyroidism are to increase the calcium level and decrease phosphate levels.

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