hypothyroidism

Question 1

hypothyroidism pathophysiology

Answer 1

• inadequate production of thyroid hormones (T3 and T4) by the thyroid gland*
  PATHO:
  primary:Hashimotto’s disease (most common cause, autoimmune issue) , thyroidectomy, or radiation therapy causes thyroid gland injury/damage, leading to less T3/T4 production
  secondary: anterior pituitary gland tumor causes less TSH secretion (which lesss T3/T4 production).
  tertiary: hypothalamic dysfunction causes less TRH secretion (which decreases TSH secretion and Decreases T3/T4 production

Question 2

hypothyroidism signs and symptoms

Answer 2

hypotension,** bradycardia**,lethargy, cold intolerance, constipation, weight gain, hair loss, brittle fingernails, depresion, cold/dry skin, pallor

Question 3

Labs/ diagnosis for hypothyroidism

Answer 3

Decrease T3/T4
increase TSH(with primary hopthyroidism), decrease TSH( with secondary/tertiary), anemia

Question 4

treatment for hypothyroidism

Answer 4

levothyroxine
liothyronine

Question 5

nursing care for hypothyroidism

Answer 5

• encourage frequent rest periods
• encourage a low-calorie/high-fiber diet to promote weight loss and prevent constipation.
• increase room temperature, provide blankets