Hypothyroidism

Question 1

What are the lab findings for Primary hypothyroidism?

Answer 1

LOW T3, T4
HIGH TSH

Question 2

What are the lab finding for secondary hypothyroidism (tumor)

Answer 2

LOW TSH, T3, T4

Question 3

What are the S/S?

Answer 3

LOW RR + BP + HR + MOOD + METABOLISM
Fatigue, lethargy
Cold intolerance (always cold
Constipation
Hair loss
Dry scaly skin
Amenorrhea
Weight gain
Edema

Question 4

What is the treatment for hypothyroidism?

Answer 4

Levothyroxine
Lifelong treatment
Leaves T3, T4 in the body
Long, slow onset
Take on empty stomach, in the morning
Do not take with calcium: milk, yogurt, eggs
Do not take w/ iron
Do not stop abruptly

Question 5

What is MYXEDEMA COMA?

Answer 5

Life threatening
Poorly managed hypothyroidism
stress triggered (acute illness, surgery, chemo, sedatives/ opioids)
Everything is DANGEROUSLY LOW

Question 6

What are the S/S of myxedema?

Answer 6

Resp. failure
Hypotension
Hypothermia
Brady cardia, dysrhythmia

Question 7

Treatment for Myxedema coma?

Answer 7

IV bolus levothyroxine
Maintain patent airway w/ ventilatory support