Hypothyroidism Flashcards
1
Q
What is hypothyroidism?
A
- it compromises a lack of thyroid hormones, thyroxine and tri-iodothyronine
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
3
Q
What are some of the complications?
A
- myxoedema coma (rare)
- reduced fertility
- PIH
- low birth weight baby
- psychomotor retardation
4
Q
What is the treatment?
A
- thyroid hormone replacement
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
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