Irregular apical pulse

Heat intolerance

Exophthalmos

Discharge the client and instruct parents to provide the client with extra fluids

Teach the family and client how to manage dehydration at home

Advise the parents to take the client to the family doctor if dehydration persists

Collaborate with the health care provider about the client's change in condition

Vitamin D promotes calcium absorption in the gastrointestinal (GI) tract

Hypoparathyroidism causes vitamin D deficiency

Vitamin D and calcium gluconate produce a synergistic effect on bone resorption activity

"Increase the dose in situations of increased stress."

"Decrease the dose when the symptoms are not affecting your daily life."

"Do not alter the corticosteroid dosages."

"Parathyroidectomy is a possible cause of hyperparathyroidism"

"Parathyroid cancer is a possible cause of hyperparathyroidism"

"Vitamin D deficiency is a possible cause of hyperparathyroidism"

"Have you experienced amenorrhea or prolonged periods?"

"Are you at risk for osteoporosis with your family history?"

"Is there a risk that you may become pregnant?"

"Have you had any hair loss?"

Semi-Fowler's position with pillows supporting the neck and head

High-Fowler's position with the head turned towards the unoperated side

Side-lying with rolled blankets behind the client

Observe for nausea and vomiting and muscle cramping

Complete daily weights

Help the client to void due to increased urination

Fluid restrict the client to no more than 1000mL/day

"My blood sugar increases when my insulin is low"

"When the sugar in my body is high it can leave my body through my pee"

"My body uses fat and protein storages for energy so I won't feel like eating"

"I can become very thirsty when I go to the bathroom a lot"

The nutritional needs of children with diabetes are very different from children without diabetes

Meals and snacks must be eaten according to peak insulin action

Exchange lists are available for a variety of different types of foods.

To help estimate food portions, weights and food measurements are used