Hypothyroidism Flashcards

1
Q

What is hypothyroidism?

A
  • it compromises a lack of thyroid hormones, thyroxine and tri-iodothyronine
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2
Q

What are some of the signs and symptoms?

A
  • weight gain
  • constipation
  • cold intolerance
  • alopecia
  • dry skin
  • hoarseness
  • lethargy
  • ataxia
  • cognitive impairment
  • menorrhagia
  • bradycardia
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3
Q

What are some of the complications?

A
  • myxoedema coma (rare)
  • reduced fertility
  • PIH
  • low birth weight baby
  • psychomotor retardation
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4
Q

What is the treatment?

A
  • thyroid hormone replacement
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5
Q

What is the role of the midwife antentally?

A
  • ensure fT4 and TSH are checked at booki and 4-6 weekly after
  • encourage compliance with thyroxine supplementation
  • refer to consultant led unit if any concerns with growth
  • be alert for PIH
  • mother suitable for regular, shared antenatal care
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6
Q

What is the midwives role postnatally?

A
  • offer routine care for type of delivery
  • breast feeding encouraged
  • arrange paed review
  • ensure new born blood spot is completed in a timely manner
  • ensure dose of thyroxine is reduced back to pre-pregnancy dose
  • ensure fT4 and TSH is checked 6 weeks postnatally
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