Hyperthyrodism Flashcards

1
Q

fluctuation of what?

A

iodine

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2
Q

Hyperthyroidism aka

A

Graves disease

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3
Q

Manifestations

A
Excess T3 & T4
Increase metabolism
Goiter
Opthalmopathy
Exophthalmos
HTN
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4
Q

Acute Thyrtoxicosis manifestations

A

High temp (hyperthermia)
HF
Shock
Seizures

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5
Q

Acute Thyrtoxicosis treatment

A

AIRWAY IMPORTANT; CARDIAC STATUS; IV FLUIDS

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6
Q

treatment options for hypert

A

Antithyroid med
Radioactive iodine therapy
Surgery

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7
Q

Nutrition therapy

A

High calorie diet (4k-5k)
6 full meals
protein: 1-2g idealy
increase carb

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8
Q

Avoid what foods

A

highly seasoned

high-fiber

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9
Q

Skin upon inspection

A

warm
diaphorectic
velvety

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10
Q

Objective data

A
clubbing
Tachypnea
Tachycardia
Murmurs
Increased bowel sounds
Hyperrelfexia
Diplopia
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11
Q

Treatment of exophtalmos

A
apply artificial tears
restrict salt
evelevate HOB
dark glasses
tape eye lids
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12
Q

Preop care

A

Give meds
Give iodine
Leg exercises head support
Neck ROM

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13
Q

Monitor for complications postop

A
Hypothyroidism
Hypocalcemia
Hemorrhage
thyrotoxicosis 
Laryngeal nerve damage
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14
Q

Post op airway treatment

A
oxygen
suction
trachestomny tray
IV calcium 
Monitor for stridor
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15
Q

Make sure they can what after surgery?

A

Talk

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16
Q

Assess what frequently after surgery

A

respiratory failure

signs of hemorrhage or tracheal compression

17
Q

Ambulatory care

A
Monitor hormone balance
decrease caloric intake
Avoid salt
Reg exercise
Avoid high enviro temp 
Need for lifelong thyroid hormone replacement
18
Q

RAI teaching

A

oral care
Radiation precautions
Symptoms of hypo