EXAM 4

Question 1

Define Hypothyroidism (give S/S and labs)

Answer 1

Under-active Thyroid
- decreased metabolism, increased weight, fatigue, low appetite, thin brittle hair, dull, goiter development
- T3 low
- T4 low
- TSH high

Question 2

Define Hyperthyroidism (Give S/S and labs)

Answer 2

Over- active Thyroid
- increased metabolism, tachycardia, arrythmias, fatigue, bulging eyes, Increased temp, fever, weight loss, hungry

T3 high
T4 high
TSH low

Question 3

What is the medication for HYPOthyroidism ( include main teaching point)

Answer 3

Levothyroxine (synthroid)
thyroid hormone replacement
- give in morning before other medications
- same time every day (life long treatment)

Question 4

What is the major complication for HYPOthyroidism

Answer 4

Myxedema coma

Question 5

What is the medication for HYPERthyroidism (include teaching)

Answer 5

Radioactive Iodine
- monitor allergies, hypothyroidism or hyper, toxicity (metallic taste, skin lesions, cold symptoms)

Question 6

What is the 3 major complications for HYPERthyroidism

Answer 6

Thyroid Storm
Thyrotoxicosis
Seizures

Question 7

What 3 labs are used to monitor the thyroid

Answer 7

T3
T4
TSH

Question 8

What 3 things are needed when giving a insulin medication

Answer 8

onset
peak
duration