Hyperthroidism Flashcards
Manifestations of hyperthyroidism
Increase HR Increase BP Increase appetite Weight loss Nutritional deficit Goiter
Causes of hyperthyroidism
Amiodarone Radiation exposure Ingestion of thyroid hormone Thyroiditis Graves Disease
Diagnostic tests
T3 T3 resin uptake T4 TSH levels
Radio iodine reuptake test
U.S.
Treatment
Anti thyroid drug therapy
Radio iodine
Surgery
Medications
How does methimazole and propylthiouracil treat hyperthyroidism
Inhibits synthesis of thyroid hormones
Does not inactive current thyroid hormones
Used for long term management
How does potassium iodine treat hyperthyroidism hormone?
Synthesis and release of thyroid hormone
How do beta blocker treat hyperthyroidism
Treat signs and symptoms
Decrease SNS demand
How does radio iodine treat hyperthyroidism
Progressive destruction of thyroid cells
Adverse reactions: pharyngitis, neck tenderness, hypothyroidism graves opthamalopathy
Surgery for hyperthyroidism
Only for special circumstances
Must take thyroid replacement meds
Complication: bleeding, laryngeal edema, hypoparathyroidism, laryngeal nerve damage
Nursing care for hyperthyroidism
VS Food intake and appetite Tremors Muscle strength Heat intolerance Mood swings Monitor thyroid hormone levels, CBC and electrolyte levels Monitor of iodine toxicity and Graves opthamalopathy
Iodine toxicity
Burning sensation Metallic taste Sore teeth and gums Increased salivation Nasal discharge GI upset Swollen eyelids
Graves Opthamalopathy
Pop- eyes Autoimmune disorder Eye irritation Blurred vision Excessive tearing Sensitivity to lights, winds, and cold
What causes hyperthyroidism
Free floating thyroid hormone
Overactive thyroid
Patient teaching
Avoid foods high in iodine like: seafood, tofu, cheddar cheese, mayo, iodinated salt
Wear med alert bracelet
What do you have to monitor for with antithyroid drugs
Leukopenia
Agranulocytosis
Hepatotoxicity
