And carbs to promote weight gain thyroidectomy postop

and carbs to promote weight
gain
Thyroidectomy
POSTOP:
● Assess airway patency***
● Semi Fowler's position, head should be kept in neutral position*
● Check the clients voice every 2 hours
○ Assess for any hoarseness- can indicate laryngeal nerve
damage
● Monitor CA, MG, Phosphate, Vit D why?? →
→ There is a Risk for removing part of Parathyroid gland due to close proximity
→ hypoparathyroidism → reduction in PTH
→ If you have LOW PTH (Parathyroid Hormone):
● LOW Calcium Level
○ Tetany- Muscle spasms & Numbness in hands and feet
■ Trousseau’s Sign*
● “Salt bae hand”
■ Chvostek's* Sign
● Cheek one
■ If severe muscle spasms →
● Verify most recent calcium level to
provider
○ Osteoporosis
● LOW Magnesium
○ Normal 1.3-2.1
● LOW Vitamin D
○ Normal 25-80
● HIGH Phosphate
○ Normal 3-4.5
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hyperparathyroidism → Will have increase of calcium and phosphate in the
bloodstream→ pathological fractures