Hyperthyrodism Flashcards
fluctuation of what?
iodine
Hyperthyroidism aka
Graves disease
Manifestations
Excess T3 & T4 Increase metabolism Goiter Opthalmopathy Exophthalmos HTN
Acute Thyrtoxicosis manifestations
High temp (hyperthermia)
HF
Shock
Seizures
Acute Thyrtoxicosis treatment
AIRWAY IMPORTANT; CARDIAC STATUS; IV FLUIDS
treatment options for hypert
Antithyroid med
Radioactive iodine therapy
Surgery
Nutrition therapy
High calorie diet (4k-5k)
6 full meals
protein: 1-2g idealy
increase carb
Avoid what foods
highly seasoned
high-fiber
Skin upon inspection
warm
diaphorectic
velvety
Objective data
clubbing Tachypnea Tachycardia Murmurs Increased bowel sounds Hyperrelfexia Diplopia
Treatment of exophtalmos
apply artificial tears restrict salt evelevate HOB dark glasses tape eye lids
Preop care
Give meds
Give iodine
Leg exercises head support
Neck ROM
Monitor for complications postop
Hypothyroidism Hypocalcemia Hemorrhage thyrotoxicosis Laryngeal nerve damage
Post op airway treatment
oxygen suction trachestomny tray IV calcium Monitor for stridor
Make sure they can what after surgery?
Talk
Assess what frequently after surgery
respiratory failure
signs of hemorrhage or tracheal compression
Ambulatory care
Monitor hormone balance decrease caloric intake Avoid salt Reg exercise Avoid high enviro temp Need for lifelong thyroid hormone replacement
RAI teaching
oral care
Radiation precautions
Symptoms of hypo
