Thyroid Flashcards
(43 cards)
What does T3T4 and TSH correlate ?
T3T4 correlate disease
TSH opposite disease
calcitonin fnx
serum ca to the bone
decr serum ca
iodine fnx in thyroid
used to make t3t4
turn food to energu
assessment of thyroid (3)
palpate- symmetry, tenderness
auscultate for buits
Serum TSH levels abnm
> 4 hypo thyroidsm
how often do TSH
q 5 years 35-39 y.o
what test confirm abnm TSH
FT4
What does serum thyroglobulin measure
its precurson to t3 n t4
radioactive iodine
whats given
how measured
results
rai 123
scintillation
hyperthyriod incr iodine intake
hypothyr decrease iodine intake
what is radioactive iodione also used for (not test)
radiate thyroid for hyperthyr
Whats meds should look at before radioactive iodine test 7
heart over counter diuertic
cough syrup ASA cimetidine furosemide hepatin lithim olols
What precautions for radioactive iodione (test incl)- 3
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
abnmties of thyroid fxn 3
creitism- stunted mental physical growth congenital or baby
goiter- enlarged thyroid rt iodine insuff.
euthyroid- normal
Hypothyroid
what disease assc
what thyroid levels
Hashmimotos- autoimmune thyroiditis
TSH elevated and low t4t3
hypothyroidism
how they look 7
face/head- 3
dry skin cold intoleranc e fluid retention swollen undereye thin hair masklike face fat (wt gain)- not hungry husky low vc slowed speech
HYPOthyroidism
how they feel 6
SOB very tired personality change hands bigger parasthesis- tingling not hungry
HYPOthyroidism
labs and vs 5
what 3 meds sensitive to
low everything
low BG, low NA, low P, BP,
increase CHO
sedatives, analgesics, opiods
Geriatric cons with HYPOthyr 5
signs and sympt
complicationa
vauge s/s- muscle aches mental confusion,
contipation
deathness can occur decre mobility
HYPOthyroid Treatment
Hormone replacement- name, dosage, goal, instructions
Levothyroxine (based on TSH lvl)
goal to subside s/s (TSH WNL)
take 30 mins before meals with WATER
HYPOthyroid hormone replacement side effects
meds (2) and vitals (3) and PC
Levothyroxine
palplation/ tachycardia/ incr BG
if angina call MD
decrease effect laoxin (digoxin)
increase effect anticoag
Supportive therapy for HYPOthyroid 6 resp, cold, pc, med
o2 BNC to lower RR no external heat- regular blanket (no elctl) IV synthroid (t3t4)- myexedema caution with fluids corticosteriods
HYpothyr caution for meds ?
no PO med if s/s too bad
Nursing mngt HYPOthyr 4
gradual return to activity
LOC check
meds are forever (dont skip
wt loss)
Hyperythroidism
which disease assc
what pop
thyroid levels
GRaves disease
females 8x more common
incr t3t4 low TSH