Cards (19)

  • Hyperthyroidism is an overactive thyroid gland with sustained increase in synthesis and release of thyroid hormones, also known as Thyrotoxicosis.
  • Hypothyroidism is a deficiency of thyroid hormone that causes general slowing of the metabolic rate.
  • Goiter is an enlarged thyroid gland.
  • Thyroiditis is an inflammation of the thyroid gland, a frequent cause of goiter.
  • Nursing Management: Hypothyroidism involves taking action through implementation, monitoring thyroid hormone levels, monitoring/administering thyroid hormone replacement, and providing nutrition therapy.
  • Clinical manifestations of Hyperthyroidism include fatigue, weakness, irritability, tachycardia, higher respiratory rate and blood pressure, increased appetite and weight loss, diarrhea, increased peristalsis, lack of focus, rapid speech, insomnia, restlessness, nervousness, and skin changes such as warmth, smoothness, and increased sweating.
  • Clinical manifestations of Hypothyroidism include fatigue, weakness, bradycardia, low respiratory rate and blood pressure, decreased appetite and weight gain, constipation, slow mental processes, slow speech, sleepiness, lethargy, apathy, and skin changes such as thickness, dryness, and coldness.
  • The goals of the nurse in a Collaborative Health Team for Hyperthyroidism include managing respiratory distress, reducing fever, replacing fluids and enhancing nutrition, reducing stress, and reducing thyroid hormone levels.
  • Nursing management for Hyperthyroidism includes assessment to recognize cues, determination of clinical problems, planning overall goals, relief of symptoms, no serious complications, and balanced nutrition.
  • Beta-adrenergic blockers are used in symptom care for Hyperthyroidism.
  • Nursing management for Hyperthyroidism also involves taking action which includes acute care of thyrotoxicosis/hyperthyroidism, post-operative care, and teaching/ambulatory care.
  • Reduction of thyroid hormone levels in Hyperthyroidism can be achieved through antithyroid drugs such as propylthiouracil and methimazole, iodine, and SSKI or Lugol solution.
  • Nursing management for Hypothyroidism includes monitoring symptoms and medication needs, teaching the person will be at risk for other autoimmune diseases, and promoting health.
  • Radioactive iodine therapy is a treatment option for Hyperthyroidism.
  • Diagnosis of thyroid disorders is based on clinical manifestations and diagnostic testing which may include T3, T4, TSH, RAIU, TPO if autoimmune is suspected.
  • Graves Disease is an autoimmune disease that enlarges the thyroid gland and increases thyroid hormone secretion to hyperthyroidism, often leading to destruction of the thyroid gland and resulting hypothyroidism.
  • Exophthalmos is the protrusion of the eyeball, a common finding in Graves Disease and Hyperthyroidism.
  • Goiter can be assessed by measuring the size of the thyroid gland.
  • Exophthalmos can be assessed by measuring the distance between the eyes.