Hypothyroidism (Hashimoto Disease)

Question 1

S/S of Hypothroidism

Answer 1

• fatigue
• thin/dry hair
• dry skin
• thick brittle nails
• constipation
• bradycardia/hypotension
• cold intolrerance
• weight gain

*husky voice

*slow speech

Question 2

Labs for hypothyroidism

Answer 2

• low T4

Question 3

hypothyroidism crisis –>

Answer 3

Myxedema coma

Question 4

What trigger Myxedema coma?

Answer 4

• acute illness
• stop taking thyroid meds
• anesthesia
• hypoventilation (resp acidosis, increase if Co2)

Question 5

S/S of Myxedema coma

Answer 5

4 h’s/R

• hypothermia
• hypoglycemia
• hyponatremia
• hypothension
• respiratory failure

Question 6

NI for hypothyroidism

Answer 6

• increase fluid intake 3L/day
• high fiber of fresh fruits/ veg
• take meds
• little or no enemas and laxatives ( to prevent constipation)
• avoid sedating clients –>b/c it can lead resp difficulties

Question 7

Medication for hypothyroidism

1. indication
2. adverse reaction
3. NI

Answer 7

• Levothyroxine (synthroid)
• Liothyronine Sodium

1. to increase metabolic rate; syntheic T4
2. tachycardia,tremors, palpitations, angina, dysrhythmias
3. check BP, Check hormone level, *avoid food with iodine