What salt is necessary to secrete thyroid hormone?
What medication is used with a patient with hypothyroidism?
Start Synthroid at a low dose to start and give the medication in the morning on an empty stomach. This medication must be taken for life
What do T4 and T3 do in the body?
Decreased T3 in the body does what?
slows down metabolism
Weight gain no matter how little you eat is seen
What major factors contribute when determining whether a patient has hypothyroidism?
bowel elimination and their need for sleep
Extreme hypothyroidism causes what
Seen in Hashimotos and hyperthyroidism
Sometimes seen in regular hypothyroidism
When is hypothyroidism caused by autoimmune disease?
The body destroys the thyroid gland is called Hashimotos’s Thyroiditis.
When are patients at most risk for hypothyroidism?
winter, after surgery, and while using CNS depressants
Secreted by the thyroid gland
Decreases excess calcium in the blood
What laboratory values are seen with hypothyroidism
How would you teach your patient that the Synthroid is working?
Have the patient check their pulse. It should be going up. The patient should also be wearing a medic-alert
Increased T3 in the body does what
Diaphoresis (excessive sweating), flushed skin,warm skin, weight loss with increased eating, high temp, increased HR, tremors, restlessness, delirium, seizures, coma.
Graves Disease is seen with what?
Seen with hyperthyroidism, corneal abrasions.
What laboratory values would you see with hyperthyroidism
TSH = Low levels
What is the treatment for hyperthyroidism
Partial or total thyroidectomy surgery
How often are VS given to a post-operative thyroid patient
Every 15 minutes; you may delegate this to a
CNA, but only after stabilization.
What are the most important VS with a post-surgical thyroidectomy patient?
Temperature, internal or external bleeding
Patient may have a horse voice; which will eventually subside.
What might be next to the bed for a post-operative thyroidectomy patient?
Calcium gluconate to treat hypocalcemic tetany
What type of environment is important to remember for a patient with hyperthyroidism
What does the adrenal cortex release
Aldosterone; which maintains water and sodium imbalance. Cortex is the most important.
What does the adrenal medulla release
epinephrine and norepinephrine; which increases gastric acid, BP, and cardiac output (fight or flight)
What are the adrenal cortex diseases
Cushing’s disease and Addison’s disease
What is the adrenal medulla disease
benign tumor that produces excessive amounts of epinephrine and norepinephrine stimulating the sympathetic nervous system increasing VS
Diagnostic tests for Pheochromocytoma
CT showing increased atrophy of the adrenal medulla, blood and urine catecholamine levels.
Treatment of Pheochromocytoma
removal of adrenal gland, and post operative BP monitoring.
excess production of glucocorticoids; adrenal or pituitary gland tumors.
more common; has do with chronic glucocorticoid therapy.
What is a glucocorticoid medication
Who is at most risk for Cushing’s syndrome
People with COPD and asthma.
Buffalo hump, thin legs, stretch marks, bruising, muscle weakness because of altered protein metabolism, decreased calcium, potassium loss, increased retention of sodium and H2O, increased gastric acid production (gastric ulcers),
What are the diagnostic test are seen with Cushing disease