Total Thyroidectomy

January 8, 2010 at 1:50 am | Posted in medicine, thyroidectomy | Leave a comment
Tags: ,

During total thyroidectomy for papillary carcinoma, bilateral parathyroid galand can be preserved. Ten milliliters of 10% solution (1 g) of calcium gluconate may be administered over 10 minutes.  10ml10% calcium gluconate ivi q8h.  A calcium infusion may be started at a rate of 1-2 mg/kg/h if symptoms do not resolve. Titrate the infusion to the patient’s symptoms and calcium levels. Start oral calcium when the patient is able to tolerate it. One to two grams of elemental oral calcium should be supplied each day. Calcium carbonate 1250 mg provides 500 mg of elemental calcium; therefore, the patient should take 2500-5000 mg/day. The patient needs concomitant replacement of vitamin D with calcitriol (Rocaltrol) 0.25-1 mcg/d.


Leave a Comment »

RSS feed for comments on this post. TrackBack URI

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s

Blog at
Entries and comments feeds.

%d bloggers like this: