{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:47:45Z","timestamp":1747187265491,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,7,5]],"date-time":"2017-07-05T00:00:00Z","timestamp":1499212800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Presentations to the emergency department with a diagnosis of hypocalcaemia\u2010induced tetany secondary to total thyroidectomy are rare. A patient presented to the emergency department of a regional Australian hospital with hypocalcaemia\u2010induced tetany. A case study was employed to reflect on the care provided and identify knowledge practice deficits within this unusual patient presentation. Calcium plays a central role within the nervous system and is vital for both cardiac and muscular contraction. The clinical manifestations of electrolyte disturbances such as hypocalcaemia can be life threatening, and therefore, appropriate assessment, monitoring and management are essential to ensure positive patient outcomes. Understanding the importance of calcium imbalance for the emergency and critical care nurse is paramount in preventing complications associated with cardiac conduction and muscle tone, especially the potential for airway compromise. Education is central to this and may include clinical case reviews, the application of pathophysiological presentations of electrolyte imbalance and a review of electrolyte administration guidelines. Understanding the role of calcium within the body will assist emergency and critical care nurses to assess, monitor and intervene appropriately, thereby preventing the life\u2010threatening manifestations of hypocalcaemia.<\/jats:p>","DOI":"10.1111\/nicc.12309","type":"journal-article","created":{"date-parts":[[2017,7,5]],"date-time":"2017-07-05T11:23:22Z","timestamp":1499253802000},"page":"349-354","source":"Crossref","is-referenced-by-count":4,"title":["Hypocalcaemia\u2010induced tetany secondary to total thyroidectomy: a nursing case review"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3181-7606","authenticated-orcid":false,"given":"Shannon","family":"Bakon","sequence":"first","affiliation":[{"name":"Queensland University of Technology, Caboolture Campus, Cnr Manley and Tallon Street  Caboolture, Queensland 4510 Australia"},{"name":"Emergency Department, Queensland Health  Queensland 4510 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judy","family":"Craft","sequence":"additional","affiliation":[{"name":"Queensland University of Technology, Caboolture Campus, Cnr Manley and Tallon Street  Caboolture, Queensland 4510 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Christensen","sequence":"additional","affiliation":[{"name":"Academic Lead for Nursing, Queensland University of Technology, Caboolture Campus, Cnr Manley and Tallon Street  Caboolture, Queensland 4510 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,7,5]]},"reference":[{"volume-title":"Encyclopedia of Case Study Research","year":"2009","author":"Aaltio L","key":"e_1_2_5_2_1"},{"volume-title":"Medical Physiology","year":"2003","author":"Apkon M","key":"e_1_2_5_3_1"},{"volume-title":"Parathyroid Glands: Regulation, Role in Human Disease and Indications for Surgery","year":"2014","author":"Ashford M","key":"e_1_2_5_4_1"},{"key":"e_1_2_5_5_1","unstructured":"Australian and New Zealand Council of Resuscitation. (2016). Guideline 8\u00a0\u2013\u00a0Cardiopulmonary Resuscitation.https:\/\/resus.org.au\/guidelines\/(accessed 08\/12\/2016)."},{"volume-title":"Medical Physiology","year":"2003","author":"Barrett E","key":"e_1_2_5_6_1"},{"volume-title":"Lewis's Medical\u2010Surgical Nursing: Assessment and Management of Clinical Problems","year":"2015","author":"Bopp A","key":"e_1_2_5_7_1"},{"volume-title":"Lewis's Medical\u2010Surgical Nursing: Assessment and Management of Clinical Problems","year":"2015","author":"Bucher L","key":"e_1_2_5_8_1"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-015-3347-3"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2013.04.003"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/15.11.1841"},{"volume-title":"Understanding Pathophysiology","year":"2015","author":"Craft J","key":"e_1_2_5_12_1"},{"key":"e_1_2_5_13_1","unstructured":"E Therapeutic Guidelines. (2016a). 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