Thyroid

Question 1

What does T3T4 and TSH correlate ?

Answer 1

T3T4 correlate disease

TSH opposite disease

Question 2

calcitonin fnx

Answer 2

serum ca to the bone

decr serum ca

Question 3

iodine fnx in thyroid

Answer 3

used to make t3t4

turn food to energu

Question 4

assessment of thyroid (3)

Answer 4

palpate- symmetry, tenderness

auscultate for buits

Question 5

Serum TSH levels abnm

Answer 5

> 4 hypo thyroidsm

Question 6

how often do TSH

Answer 6

q 5 years 35-39 y.o

Question 7

what test confirm abnm TSH

Answer 7

FT4

Question 8

What does serum thyroglobulin measure

Answer 8

its precurson to t3 n t4

Question 9

radioactive iodine
whats given
how measured
results

Answer 9

rai 123
scintillation
hyperthyriod incr iodine intake
hypothyr decrease iodine intake

Question 10

what is radioactive iodione also used for (not test)

Answer 10

radiate thyroid for hyperthyr

Question 11

Whats meds should look at before radioactive iodine test 7

heart over counter diuertic

Answer 11

cough syrup ASA cimetidine furosemide hepatin lithim olols

Question 12

What precautions for radioactive iodione (test incl)- 3

Answer 12

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

Question 13

abnmties of thyroid fxn 3

Answer 13

creitism- stunted mental physical growth congenital or baby

goiter- enlarged thyroid rt iodine insuff.

euthyroid- normal

Question 14

Hypothyroid
what disease assc
what thyroid levels

Answer 14

Hashmimotos- autoimmune thyroiditis

TSH elevated and low t4t3

Question 15

hypothyroidism
how they look 7

face/head- 3

Answer 15

dry skin
cold intoleranc e
fluid retention
swollen undereye thin hair masklike face 
fat (wt gain)- not hungry
husky low vc 
slowed speech

Question 16

HYPOthyroidism

how they feel 6

Answer 16

SOB 
very tired 
personality change 
hands bigger 
parasthesis- tingling 
not hungry

Question 17

HYPOthyroidism
labs and vs 5
what 3 meds sensitive to

Answer 17

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

sedatives, analgesics, opiods

Question 18

Geriatric cons with HYPOthyr 5
signs and sympt
complicationa

Answer 18

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

Question 19

HYPOthyroid Treatment

Hormone replacement- name, dosage, goal, instructions

Answer 19

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

Question 20

HYPOthyroid hormone replacement side effects

meds (2) and vitals (3) and PC

Answer 20

Levothyroxine

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

Question 21

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

Answer 21

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

Question 22

HYpothyr caution for meds ?

Answer 22

no PO med if s/s too bad

Question 23

Nursing mngt HYPOthyr 4

Answer 23

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

Question 24

Hyperythroidism
which disease assc
what pop
thyroid levels

Answer 24

GRaves disease
females 8x more common
incr t3t4 low TSH

Question 25

What disease heart commnly assc with HYPOthyr

Answer 25

CAD incr chol

Arteriosclerosis

Question 26

what is throxicosis

Answer 26

over active thyroid

Question 27

Hyperthyroidism

what they look like 5

Answer 27

pale
fine hand tremors
skinny (hungry)
popeyed (exopthamlos)
thyroid enlargemnt

Question 28

Hyperthyroid

what they feel like 5

Answer 28

excited emotional 
apprhensice
heat intolerance 
hungry 
warm

Question 29

HYperthyroid
what labs/ vs- 4
2 diseases

Answer 29

osteoporosis
CHF

tachycardia - incr HR and P
incr SBP
increase iodine intake
bruit/ thrill -

Question 30

Hyperthyroidism

radioactive

Answer 30

radioactive iodine(resolved in 3-4 wks)- may be single dose

Question 31

Hyperthyroid tx

anti- thyroid 2 meds

Answer 31

antithyroid-takes weeks to resolve

 propylthicuracil
methimazole (MMI)- once euthyroid- maintenance dose established and tapered over months

Question 32

Methimazole side effects- 5

Answer 32

side effects- fever, GI probl, urticarial (hives), agranulocytosis (loose blood risk infection) thrombocyopenia (no platelets incr bleeding)

Question 33

Methimazole discontinue med and notfy md if (3)

PC

Answer 33

infection (esp pharygitis) mouth ulcers fever

PC - thyroid storm

Question 34

Hyperthyroid

Iodides 4

Answer 34

potassium iodide
lugol’s soln
Beta Adrenergic blocking - OLOL
SSKI- saturated soln of pot iodide

Question 35

Lugols soln complications

3

Answer 35

esophpgeal or duodenal injury (GI ulcer hematoma )

Question 36

Betablockers meds 5 functions 6

Answer 36

propanolol, atenolol, metoprolol - decrease heart rate SBP, muscle weakness nervousnes and tremors , heat intolence

Question 37

Remove all or part thyroid HYPERTHYROID

3 interventions

Answer 37

preop- antithyroid med until s/s disapered or betablocker decrease hr
stop any blood thinners weeks before

Question 38

hyperthyroid diet 6 do’s and dont

Answer 38

avoid caffeine, tea, cola, alcohol

hi cal hi protein

Question 39

Nursing intvn 2 vision and attn

Answer 39

short span - give ample time ]

vision- very dry eye eyedrops

Question 40

Nodular Tumor s/s and txm

Answer 40

thyroid moves down and causes pressure

remove thyroid

Question 41

Thyroids Cancer 
cause 
ss
tx 
dx

Answer 41

external radiation
lesions hard and fix- cervial lymph
dx- needle bx
tx- surgical removal or radiation

Question 42

radiation thyroid cancer

side effects 5

Answer 42

sore neck, nausea upset stomach dry mouth change in taste

Question 43

All surgery Thyroid monitor and implamentn 7

Answer 43

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