HYPOTHYROIDISM

Question 1

3 basic concepts of hypothyroidism

Answer 1

Decreased metabolic rate
Decreased body heat production
Hypercalcemia

Question 2

Manifestation of hypothyroidism

Answer 2

“Everything is low, slow and dry

Question 3

Hypothyroidism is Common in women between _____; incidence rises after age ___

Answer 3

40 - 60; 50

Question 4

Cause of hypothyroidism

Answer 4

AART

Autoimmune disorders
Antithyroid drugs
Radioactive iodine
Thyroïdectomy

Question 5

in adults —- nonpitting edema in the connective tissue throughout the body_______

Answer 5

Myxedema

Question 6

Signs of myxedema

Answer 6

Puffy face
Enlarge toes
Hoarseness of voice

Question 7

hypothyroidism in children

Answer 7

Cretenism

Question 8

This is the result of water retention in muco- protein deposits in the interstitial spaces known as ________________________________

Answer 8

Hydrophilic proteoglycans

Question 9

Type of hypothyroidism that caused by congenital defects in the gland, loss of thyroid tissue following surgery or radiation, antithyroid medications, thyroiditis

Answer 9

Primary

Question 10

Another cause of primary hypothyroïdism due to a medication that contains 75 mg of iodine per 200 mg tablet

Answer 10

Amiadarone (codarone)

Question 11

Type of hypothyroidism that results from pituitary TSH deficiency

Answer 11

Secondary

Question 12

initial sign of hypothyroidism

Answer 12

Fatigue

Question 13

manifestations of hypothyroidism

Answer 13

Goiter
Weight gain
Anorexia
Dry skin
Edema
Constipation
Pruritus
Dysnea
Muscle stiffness
Decrease sense of taste and smell

Question 14

It is due to abnormalities in lipid metabolism with elevated serum cholesterol and triglyceride levels during

Answer 14

Atherosclerosis

Question 15

It is due to decreased renal blood flow and glomerular filtration rate that reduces the kidney’s ability to excrete water

Answer 15

Hypernatremia

Question 16

Drugs that can treat hypothyroidism

Answer 16

Levothyroxine sodium (T4)

Brandnames
Levoxyl
Levothroid
Synthroid

Liothyronine sodium (T3)

Brandnames
Cytomel

Question 17

It acts as a synthetic thyroid hormone

Answer 17

Thyrolar, thycar

Question 18

Treatment of choice for hypothyroidism it Increase blood levels of TH and also the CO, BT and oxygen consumption

Answer 18

Levothyroxine

Question 19

NURSING RESPONSIBILITIES
Give ______hour before meals or______ hours after meals

Answer 19

1,2

Question 20

Take ________ before administering drug. Report less than______________

Answer 20

Morning, 60 or 100

Question 21

Potentiate the effect of anticoagulant drugs such as

Answer 21

BADD

Bleeding
Anorexia
Dysrythmias
Diarrhea

Question 22

Potentiate the effects of digitalis which is

Answer 22

Halo green lights

Question 23

Monitor for symptoms of coronary insufficiency such as

Answer 23

Chest pain
Dysphea
Tachycardia

Question 24

DOC for pernicious anemia

Answer 24

Vitamin B12

Question 25

How to administer B12

Answer 25

Z track IM

Question 26

Life threatening complication of longstanding untreated hypothyroidism usually triggered by an acute illness or trauma

Answer 26

Myxedema coma

Question 27

Occurrence and Incidence of myxedema coma

Answer 27

Rare Winter months Older women With hypothyroidism

Question 28

PRECIPITATING FACTORS

Answer 28

Failure to take thyroid replacement medications

Question 29

Manifestations of myxedema coma

Answer 29

Hyponatremia Hypoglycemia Hypotension Hypo Lactic acidosis Bradycardia Respiratory failure Coma

Question 30

Management for myxedema coma

Answer 30

Maintain patent airway Monitor client’s temperature. Monitor BP. Monitor LOC Monitor electrolytes glucose Administer IV fluids and Synthorid/IV as prescribed Administer glucose/IV as ordered