Thyroid Flashcards

(43 cards)

1
Q

What does T3T4 and TSH correlate ?

A

T3T4 correlate disease

TSH opposite disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

calcitonin fnx

A

serum ca to the bone

decr serum ca

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

iodine fnx in thyroid

A

used to make t3t4

turn food to energu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

assessment of thyroid (3)

A

palpate- symmetry, tenderness

auscultate for buits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Serum TSH levels abnm

A

> 4 hypo thyroidsm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how often do TSH

A

q 5 years 35-39 y.o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what test confirm abnm TSH

A

FT4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does serum thyroglobulin measure

A

its precurson to t3 n t4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

radioactive iodine
whats given
how measured
results

A

rai 123
scintillation
hyperthyriod incr iodine intake
hypothyr decrease iodine intake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is radioactive iodione also used for (not test)

A

radiate thyroid for hyperthyr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Whats meds should look at before radioactive iodine test 7

heart over counter diuertic

A

cough syrup ASA cimetidine furosemide hepatin lithim olols

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What precautions for radioactive iodione (test incl)- 3

A

no sharing cups or utensils
no sexual contact/ no same bed
cautn children and pregn women

can be transfered saliva urine or radiation emitting from body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

abnmties of thyroid fxn 3

A

creitism- stunted mental physical growth congenital or baby

goiter- enlarged thyroid rt iodine insuff.

euthyroid- normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hypothyroid
what disease assc
what thyroid levels

A

Hashmimotos- autoimmune thyroiditis

TSH elevated and low t4t3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

hypothyroidism
how they look 7

face/head- 3

A
dry skin
cold intoleranc e
fluid retention
swollen undereye thin hair masklike face 
fat (wt gain)- not hungry
husky low vc 
slowed speech
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

HYPOthyroidism

how they feel 6

A
SOB 
very tired 
personality change 
hands bigger 
parasthesis- tingling 
not hungry
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

HYPOthyroidism
labs and vs 5
what 3 meds sensitive to

A

low everything
low BG, low NA, low P, BP,
increase CHO

sedatives, analgesics, opiods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Geriatric cons with HYPOthyr 5
signs and sympt
complicationa

A

vauge s/s- muscle aches mental confusion,
contipation
deathness can occur decre mobility

19
Q

HYPOthyroid Treatment

Hormone replacement- name, dosage, goal, instructions

A

Levothyroxine (based on TSH lvl)
goal to subside s/s (TSH WNL)
take 30 mins before meals with WATER

20
Q

HYPOthyroid hormone replacement side effects

meds (2) and vitals (3) and PC

A

Levothyroxine

palplation/ tachycardia/ incr BG
if angina call MD
decrease effect laoxin (digoxin)
increase effect anticoag

21
Q

Supportive therapy for HYPOthyroid 6 resp, cold, pc, med

A
o2 BNC to lower RR
no external heat- regular blanket (no elctl)
IV synthroid (t3t4)- myexedema 
caution with fluids
corticosteriods
22
Q

HYpothyr caution for meds ?

A

no PO med if s/s too bad

23
Q

Nursing mngt HYPOthyr 4

A

gradual return to activity
LOC check
meds are forever (dont skip
wt loss)

24
Q

Hyperythroidism
which disease assc
what pop
thyroid levels

A

GRaves disease
females 8x more common
incr t3t4 low TSH

25
What disease heart commnly assc with HYPOthyr
CAD incr chol | Arteriosclerosis
26
what is throxicosis
over active thyroid
27
Hyperthyroidism | what they look like 5
``` pale fine hand tremors skinny (hungry) popeyed (exopthamlos) thyroid enlargemnt ```
28
Hyperthyroid | what they feel like 5
``` excited emotional apprhensice heat intolerance hungry warm ```
29
HYperthyroid what labs/ vs- 4 2 diseases
osteoporosis CHF tachycardia - incr HR and P incr SBP increase iodine intake bruit/ thrill -
30
Hyperthyroidism | radioactive
radioactive iodine(resolved in 3-4 wks)- may be single dose
31
Hyperthyroid tx | anti- thyroid 2 meds
antithyroid-takes weeks to resolve ``` propylthicuracil methimazole (MMI)- once euthyroid- maintenance dose established and tapered over months ```
32
Methimazole side effects- 5
side effects- fever, GI probl, urticarial (hives), agranulocytosis (loose blood risk infection) thrombocyopenia (no platelets incr bleeding)
33
Methimazole discontinue med and notfy md if (3) | PC
infection (esp pharygitis) mouth ulcers fever | PC - thyroid storm
34
Hyperthyroid | Iodides 4
potassium iodide lugol's soln Beta Adrenergic blocking - OLOL SSKI- saturated soln of pot iodide
35
Lugols soln complications | 3
esophpgeal or duodenal injury (GI ulcer hematoma )
36
Betablockers meds 5 functions 6
propanolol, atenolol, metoprolol - decrease heart rate SBP, muscle weakness nervousnes and tremors , heat intolence
37
Remove all or part thyroid HYPERTHYROID | 3 interventions
preop- antithyroid med until s/s disapered or betablocker decrease hr stop any blood thinners weeks before
38
hyperthyroid diet 6 do's and dont
avoid caffeine, tea, cola, alcohol | hi cal hi protein
39
Nursing intvn 2 vision and attn
short span - give ample time ] | vision- very dry eye eyedrops
40
Nodular Tumor s/s and txm
thyroid moves down and causes pressure | remove thyroid
41
``` Thyroids Cancer cause ss tx dx ```
external radiation lesions hard and fix- cervial lymph dx- needle bx tx- surgical removal or radiation
42
radiation thyroid cancer | side effects 5
sore neck, nausea upset stomach dry mouth change in taste
43
All surgery Thyroid monitor and implamentn 7
``` montr back and side dressing for bleedig monitor respiratory feel for fullness incisions semifowlers pos intruct for to talk hi cal for wt gain monitor for tetany ```