Question

The client with hypoparathyroidism is admitted with a calcium level of \(7.6 \mathrm{mg} / \mathrm{dL}\). The nurse should anticipate an order for which of the following medications? A. Furosemide (Lasix) B. Levothyroxin (Synthyroid) C. PTH (Forteo) D. Propanolol (inderal)

Short answer

Answer: The most suitable medication for a patient with hypoparathyroidism and a calcium level of 7.6 mg/dL is PTH (Forteo), as it directly addresses the lack of parathyroid hormone and increases calcium levels in the body.

Step-by-step solution

Understanding hypoparathyroidism and calcium levels

Hypoparathyroidism is a condition in which the parathyroid hormone (PTH) production is insufficient, leading to low levels of calcium in the blood. Calcium is essential for healthy bones, muscles, nervous system, and heart function. Normal calcium levels range between \(8.5\) and \(10.5 \mathrm{mg} / \mathrm{dL}\). In this case, the patient has calcium levels of \(7.6 \mathrm{mg} / \mathrm{dL}\), which indicates that they have low calcium levels (hypocalcemia).

Examining the medication options

We need to determine which medication is most suitable for addressing the patient's low calcium levels caused by hypoparathyroidism. Below is a brief description of each medication and its effect on the body: A. Furosemide (Lasix): This is a diuretic medication that helps remove excess fluid from the body. It has no direct effect on calcium levels. B. Levothyroxine (Synthroid): This medication is used to treat hypothyroidism, which is not directly related to hypoparathyroidism or calcium levels. C. PTH (Forteo): This is a synthetic version of the parathyroid hormone, which helps to regulate calcium levels in the body. It increases calcium levels in patients suffering from hypoparathyroidism. D. Propranolol (Inderal): This is a beta-blocker medication mainly used to treat high blood pressure and heart-related conditions. It has no direct effect on calcium levels.

Choosing the appropriate medication

Given the understanding of the medications and their impact on the body, it is clear that the most suitable medication for a patient with hypoparathyroidism and low calcium levels is option C, PTH (Forteo), as it directly addresses the lack of parathyroid hormone and increases calcium levels in the body.