Parathyroidectomies: Pre and Post Op Usage of Calcium Supplementation and Effect on Calcium Levels
Journal Title: Archives of Renal Diseases and Management - Year 2016, Vol 2, Issue 1
Abstract
Introduction: PTH is released from the parathyroid glands behind the thyroid and is the primary regulator of calcium homeostasis. Indications for surgery in hyperparathyroidism remain controversial but can include symptomatic disease, renal stones, impaired renal function, bone involvement or marked reduction in bone density. Due to hypocalcaemia post op, pre-op calcium loading should occur. However not much research has been conducted into this area. Methods: We retrospectively reviewed notes of patients with hyperparathyroidism secondary to renal failure admitted to a single centre, single surgeon, for parathyroidectomies. The following were determined: calcium preloading (type and dose) in secondary hyperparathyroidism, average calcium level on admission and post op, for preloaded and non-loaded secondary hyperparathyroid cases. This was also determined for primary hyperparathyroidism and renal transplant cases. Notes were also reviewed for oral calcium supplementation or IV calcium supplemenyation (type and average dose), for preloaded/ non preloaded cases, primary cases and new transplants. Length of stay was also reviewed. Statistical differences will be calculated. Results: There were significant differences in the results for pre and none loaded secondary hyperparathyroidism cases. They were more prone to receiving IV calcium supplementation and had a longer length of stay. Conclusion: All secondary hyperparathyroid cases admitted for parathyroidectomy should be preloaded with 4 mcg alfacalcidol to prevent post op hypocalcaemia and IV calcium gluconate usage.
Authors and Affiliations
Goonewardene SS, Ready A
Keywords
Related Articles
- EP ID EP343383
- DOI 10.17352/2455-5495.000007
- Views 110
- Downloads 0
Proliferative Glomerulonephritis with Monoclonal Immunoglobulin Deposition: Report of Two Cases and Review of Literature
Here we report two cases of proliferative glomerulonephritis with monoclonal IgG deposits, a form of renal involvement by monoclonal gammopathy that mimics immune complex glomerulonephritis. Case 1 presented with inciden...
Metformin Associated Lactic Acidosis without Organ Dysfunction and Effective Treatment
Lactic acidosis generally occurs in those who have kidney, liver, lung or heart dysfunction. Herein, a 73-year-old woman diagnosed as type B lactic acidosis due to metformin without any organ dysfunction was presented. E...
Effectiveness and Tolerability of Febuxostat vs Allopurinol in patients with Chronic Kidney Disease (CKD) on Conservative Therapy
Uric Acid appears to be one of the most important prognostic markers and one of the principal risk factors for cardiovascular diseases. The aim of our study was to assess three groups of patients: a first group treated w...
Massive Carbon Dioxide Embolism during Pneumoperitoneum for Laparoscopic Adrenalectomy
A 65-year-old man, with suspected right adrenal metastasis from hepatic carcinoma, was scheduled to undergo a laparoscopic right adrenalectomy. About 75 minutes into the operation, when attempting to remove the adrenal g...
Persistent hypocomplementemia in a 9 year old boy following acute post-streptococcal glomerulonephritis
Acute post-streptococcal glomerulonephritis (APSGN) is still common in our region and it is characterized by acute onset of edema, gross hematuria, hypertension, acute kidney injury and temporary hypocomplementemia with...