HYPOTHYROIDISM Flashcards

1
Q

3 basic concepts of hypothyroidism

A

Decreased metabolic rate
Decreased body heat production
Hypercalcemia

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2
Q

Manifestation of hypothyroidism

A

“Everything is low, slow and dry

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3
Q

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

A

40 - 60; 50

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4
Q

Cause of hypothyroidism

A

AART

Autoimmune disorders
Antithyroid drugs
Radioactive iodine
Thyroïdectomy

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5
Q

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

A

Myxedema

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6
Q

Signs of myxedema

A

Puffy face
Enlarge toes
Hoarseness of voice

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7
Q

hypothyroidism in children

A

Cretenism

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8
Q

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

A

Hydrophilic proteoglycans

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9
Q

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

A

Primary

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10
Q

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

A

Amiadarone (codarone)

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11
Q

Type of hypothyroidism that results from pituitary TSH deficiency

A

Secondary

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12
Q

initial sign of hypothyroidism

A

Fatigue

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13
Q

manifestations of hypothyroidism

A

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

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14
Q

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

A

Atherosclerosis

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15
Q

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

A

Hypernatremia

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16
Q

Drugs that can treat hypothyroidism

A

Levothyroxine sodium (T4)

Brandnames
Levoxyl
Levothroid
Synthroid

Liothyronine sodium (T3)

Brandnames
Cytomel

17
Q

It acts as a synthetic thyroid hormone

A

Thyrolar, thycar

18
Q

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

A

Levothyroxine

19
Q

NURSING RESPONSIBILITIES
Give ______hour before meals or______ hours after meals

A

1,2

20
Q

Take ________ before administering drug. Report less than______________

A

Morning, 60 or 100

21
Q

Potentiate the effect of anticoagulant drugs such as

A

BADD

Bleeding
Anorexia
Dysrythmias
Diarrhea

22
Q

Potentiate the effects of digitalis which is

A

Halo green lights

23
Q

Monitor for symptoms of coronary insufficiency such as

A

Chest pain
Dysphea
Tachycardia

24
Q

DOC for pernicious anemia

A

Vitamin B12

25
Q

How to administer B12

A

Z track IM

26
Q

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

A

Myxedema coma

27
Q

Occurrence and Incidence of myxedema coma

A

Rare
Winter months
Older women
With hypothyroidism

28
Q

PRECIPITATING FACTORS

A

Failure to take thyroid replacement medications

29
Q

Manifestations of myxedema coma

A

Hyponatremia
Hypoglycemia
Hypotension
Hypo
Lactic acidosis
Bradycardia
Respiratory failure
Coma

30
Q

Management for myxedema coma

A

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