Hyperthyroidism Flashcards
Hyperthyroidism
Excessive output if thyroid hormone
Increased metabolic rate
20-40 years old and more with women
Hyperthyroidism cause
Most common is graves disease Other causes Thyroiditis Excessive iodine intake Toxic nodular goiter Thyroid cancer Pituitary tumour
Graves disease
Autoimmune disease
Diffuse thyroid enlargement
Graves disease factors
Cigarette smoking
Genetic factors
Hyperthyroidism symptoms
Various systems affectsd Nervousness irritability Cardiac symptoms ( hypotension, rapid pulse) Warm colour moist skin Hand tremorr Goiter High temperature
Potential compilation
Thyrotoxicosis
Drug therapy
Antithyroid drugs - propylthiouracil - carbimazole B- adrenergic blockers Iodine Radioactive 131l therapy
Surgery
Total or subtotal thyroidectomy
Nursing diagnosis y
Activity intolerance
Imbalanced nutrition
Anxiety
Risk of corneal injury
Activity intolerance related to
Fatigue and heat intolerance
Imbalanced nutrition
Less than body need hyper metabolism
Inadequate food intake
Anxiety
Related to lack of knowledge
Risk of corneal injury
Decreased blinking or inability to close eyelids
Nursing intervention
Improved nutritional status Enhancing coping measures Improving self esteem Monitoring eyes for redness Monitoring potential complications Teaching ongoing care
Thyroidectomy postoperative nursing cre
Vital signs Monitor respirations Monitoring dressings for potential bleeding Ice packs for swelling Assess voice but discourage talking Semi fowlers positions Post op pain relief Assess pain Home care
Latent tetanus
Signs of low calcium levels chvosteks sign
Trousseau’s sign
Thyroid storm
Emergency and life threatening with abrupt onset - fatal if untreated
Excessive amounts hormones released- increased t3 t4 or both
A form of severe hyperthyroidism
Thyrotoxicosis sigbs
High fever Extreme tachycardia Restlessness Seizure Shock Exaggerated symptoms if hyperthyroidism
Management of thyroid storm goals
Treat by reducing circulating hormones
Reduction of body temp and heart
Prevention of vascular collapse
Other
Block adverse effects of thyroid hormones
Suppress hormone over sections
Prevent complications
Supportive therapy of thyroid storm
Manage respiratory distress
Replace fluids
Reduce fever
Elimination of stressor
