hypothyroid

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Author:
servinggod247
ID:
284700
Filename:
hypothyroid
Updated:
2014-10-02 09:14:42
Tags:
med surg
Folders:
med surg
Description:
hypothyroid
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  1. Hypothyroid risks
    • women
    • DM
    • age
  2. Causes
    • decreased thyroid tissue
    • decreased synthesis of thyroid hormone
    • inadequate TSH
    • WORLDWIDE: deficient iodine (table salt)
  3. Aging vs. hypothyroidism
    look at chart
  4. History
    • gradual changes
    • durgs
  5. Appearance
    • coarse features
    • edema
    • tongue
    • slow
    • gain weight
  6. vs are ________
    decreased
  7. Psychosocial
    • depression
    • lethargic
    • apathetic
    • social isolation
  8. Laboratory assessment
    • opposite of hyper
    • look at chart
  9. Goiter
    depends on cause
  10. Interventions
    • O2 supplement and saturation
    • Prevent hypotension
    • Monitor cognition
    • Drugs
    • Nutrion
    • Education
    • Safety
  11. Nutrition
    decrease calories and increase bulk
  12. Drugs
    • hormone replacement (synthroid)¬†
    • lifelong
  13. Education
    • hormone replacement
    • diet
    • tx effects- look for signs and symtpoms of hyperthyroid from drug therapy
  14. Safety
    • cognitive function- slow mentally
    • Potential for myxedema coma
  15. myxedema coma
    • Nonpitting edema, hoarseness, thick tongue
    • life threatening¬†
    • symptoms escalate
    • Unreated or undertreated hypothyroid
    • decrease cardiac output
    • End up with cardiac failure
    • tissue and organ failure
    • very high mortality rate
  16. Things to monitor during myxedema coma
    • mental status
    • vs, iand o, weight, temp, airway
  17. Drugs for myxedema
    levothyroixine and corticosteroids

    66-7
  18. triggers for myxedema coma
    acute illness, surgery, chemo, thyroid meds, opiods
  19. 3 types of Thyroiditis
    • Acute
    • Subacute (granulomatous)
    • Chronic (hashimoto's disease- most common)
  20. Assessment with thyroiditis
    • dysphagia
    • painless thyroid enlargement
  21. Interventions thyroiditis
    • drug therapy
    • comfort
    • education
    • subtotal thyroidectomy
  22. Thyroid cancer types
    • Papillary- most common, slow growing
    • Follicular- age, invades, mets to bone and lung
    • Medullary- age
    • Anaplastic- rapid growing and aggressive, mets (radiation

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