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NURSING INCO > HYPER AND HYPOTHYROIDISM > Flashcards

HYPER AND HYPOTHYROIDISM Flashcards

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1
Q

Also called Thyrotoxicosis

A

Hyperthyroidism

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2
Q

Incidence in Hyperthyroidism

A

Female <40 yrs. old

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3
Q

Hyper: Diet

A

High Calorie and Low Fiber

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3
Q

The cause of Grave’s Disease is __ but there is a ___.

A

Unknown; Hereditary link

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3
Q

Hyper: FACTORS

A

Autoimmunity
Neoplasms
Excessive intake of Thyroid meds

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3
Q

Most common cause of Hyper?

A

Grave’s Disease

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4
Q

Hypocalcemia results to?

A

Increased membrane permeability which leads to Increased neuromuscular irritability

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4
Q

Hyper: Manifestations

A

Everything is HIGH and WET

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5
Q

Due to Increased metabolism

A

High appetite
Weight Loss
Heat intolerance

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5
Q

Due to Hypocalcemia

A

Hyperactive Bowel sounds
Diarrhea
Nervousness
Restlessness

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5
Q

Due to activation of CNS/ SNS

A

Hypertension
Diaphoresis
Palpitation

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6
Q

Hyper: Eye Manifestations

A

Exophthalmos
Von Graefe’s
Joffroy’s Sign
Proptosis

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6
Q

Protrusion of one or both eyes

A

Exophthalmos

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6
Q

the palpebral fissure in Von Graefe’s are?

A

Long and Deep

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6
Q

Abnormal vertical wideness of the Palpebral fissure.

A

Von Graefe’s

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6
Q

Cause of Exophthalmos?

A

Accumulation of Fluid at the Fat pads behind the eyeballs.

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6
Q

Joffroy’s Sign

A

Forehead remain smooth when looking up.

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7
Q

Iodides (2)

A

Lugol’s Solution
Saturated Solution of Potassium Iodide (SSKI)

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7
Q

Signs of Proptosis

A

Blurred Vision
Diplopia
Eye pain
Lacrimation
Photophobia

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8
Q

SSKI is also used in ___.

A

Thyroid Storm

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8
Q

Proptosis

A

Forward Displacement of the eye or Bulging

8
Q

Give before Subtotal Thyroidectomy for less vascular

A

Lugol’s Solution

9
Q

COMMON side effects of IODIDES

clue: VAMIC ARS

A

Vomiting
Allergic reaction
Metallic or Brassy taste
Increased Salivation
Coryza
Abdominal Pain
Rashes
Sore gums

9
Q

Anti- thyroid meds: THIOAMIDES

A

Methimazole (Tapazole)
Prophythiouracil (PTU)

9
Q

DOC of thyroid storm

A

Lugol’s Solution

9
Q

Iodides that Inhibit TH synthesis and release

A

SSKI

10
Q

Nursing Responsibilities in IODIDES: (5)

A

Assess for HYPERSENSITIVITY to Iodine.

Dilutes Iodine Sources: COLD WATER and FRUIT JUICES

Provide DRINKING STRAW.

Monitor for increased BLEEDING TENDENCIES.

10
Q

Methimazole: Cannot be taken during?

A

Pregnancy

11
Q

THIOAMIDES: Administer?

A

at the same time each day with meals.

11
Q

Other SE of THIOAMIDES

A

Hypothyroidism
Pruritus
Periorbital Edema
Anorexia
Loss of Taste and Smell
Menstrual Changes

11
Q

Full effects experienced in?

A

12 weeks

11
Q

Methimazole: Can be taken in?

A

1 daily dose

11
Q

Avoid ASA and Iodine containing meds.

A

Because it elevates Free Thyroid Hormone levels

12
Q

PTU: Inhibit?

A

TH production

12
Q

PTU: Must be taken in?

A

3 doses daily

12
Q

THIOAMIDES: SE- Agranulocytosis/Neutropenia with leukopenia

A

FRD S/S

12
Q

Other Meds for Hyperthyroidism? (2)

A

Beta Blocker and CCB

13
Q

Weight Gain indicates?

A

Effectiveness of the meds

14
Q

CCB - Glucocorticoids

A

Dexamethasone

14
Q

5/6 of the Gland is removed

A

Subtotal Thyroidectomy

14
Q
A
14
Q

Periop Care: ASSESS

clue: GV WEH

A

Glucosuria
Vital Signs
Weight
Electrolyte levels
Hyperglycemia

14
Q
A
14
Q

Other Periop care for Subtotal Thyroidectomy

A

Teacg

15
Q

Treats cancer of the thyroid and requires lifelong hormone replacement

A

Total Thyroidectomy

15
Q
A
16
Q
A
16
Q
A
16
Q
A
17
Q
A

NURSING INCO (9 decks)

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