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Thyroid Flashcards

1
Q

What 3 hormones are produced by thyroid gland?

A

T3
T4
Calcitonin

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2
Q

What does calcitonin do?

A

Decreases serum calcium levels by taking calcium out of the blood and pushing it back into the bone

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3
Q

What do you need to make hormones?

A

Dietary iodine

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4
Q

Thyroid hormone gives us ___

A

Energy

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5
Q

Hyperthyroid = ?

A

Too much energy!—Graves Disease!!

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6
Q

Hyperthyroid

Outlook

A

Nervous
Irritable
Attention span decreased

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7
Q

Hyperthyroid

How is appetite?
Weight?

A

Appetite increases

Weight decreases

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8
Q

Hyperthyroid

Body temp

A

Hot and sweaty

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9
Q

Hyperthyroid

Eyes

A

Exophthalmos

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10
Q

Hyperthyroid

GI

A

Increases

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11
Q

Hyperthyroid

BP and HR

A

Increases

*can have arrhythmias/palpitations

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12
Q

Hyperthyroid

Thyroid size

A

Increase

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13
Q

Hyperthyroid

Diagnosis…T4? TSH?

A 
T4= Increased
TSH= Decreased
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14
Q

Hyperthyroid

Dx test and teaching

A

Thyroid scan

No iodine med 1 week before scan and must wait 6 weeks to restart them

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15
Q

Hyperthyroid

Other dx?

A

US
MRI
CT

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16
Q

Hyperthyroid

Ex of a drug that has a lot of iodine levels?

A

Amiodarone (DOC for v-fib and v-tach)

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17
Q

Hyperthyroid

Examples of anti-thyroids?

A

Methimazole

Propylthiouracil

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18
Q

Hyperthyroid

What do anti-thyroids do?

A

Stop thyroid from making thyroid hormones

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19
Q

Hyperthyroid

Anti-thyroids used ___ to stun thyroid

A

Preop

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20
Q

Hyperthyroid

Anti-thyroids…we want client to become ____

A

Euthyroid

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21
Q

Hyperthyroid

Example of iodine compounds?

A

Potassium iodine

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22
Q

Hyperthyroid

What do iodine compounds do?

A

Decrease size and vascularity of the gland

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23
Q

Hyperthyroid

ALL endocrine glands are very ___

A

Vascular (this is why its good to give iodine compounds for hyperthyroid—since iodine compounds decrease size and vascularity of gland)

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24
Q

Hyperthyroid

How to give iodine compounds?

A

Mild or juice, WITH A STRAW (can stain teeth)

25
Q

Hyperthyroid

Why give BB?

A

Supportive therapy (propanolol)

  • Decrease myocardial contractility, CO, HR, BP
  • Situational anxiety
26
Q

Hyperthyroid

Do not give BB to who?

A

Asthmatics

Diabetics

27
Q

Hyperthyroid

Radioactive iodine therapy is given in how many doses?

A

One

28
Q

Hyperthyroid

How to give radioactive iodine therapy?

A

PO (liquid or tab)

29
Q

Hyperthyroid

Rule out what before giving radioactive iodine therapy?

A

Pregnancy

30
Q

Hyperthyroid

What does radioactive iodine therapy do?

A

Destroys thyroid cells (so you become hypothyroid)!

31
Q

Hyperthyroid

Radioactive precautions need to be followed for radioactive iodine therapy. Ex?

A

Stay away from babies for 1 week

Dont kiss anyone for 1 week

32
Q

Hyperthyroid

Watch for what during tx with radioactive iodine?

A

THYROID STORM! (if all thyroid cells aren’t destroyed then a little bit that is left will overwork and that can cause a storm)

33
Q

Hyperthyroid

Surgery?

A

Thyroidectomy (partial or complete)

34
Q

Hyperthyroid-Thyroidectomy

Post op priority?

A

Hemorrhage

35
Q

Hyperthyroid-Thyroidectomy

Report what feelings?

A

Pressure

36
Q

Hyperthyroid-Thyroidectomy

Check for bleeding where?

A

Incision site, behind neck

37
Q

Hyperthyroid-Thyroidectomy

Assess for what?

A

Recurrent laryngeal nerve damage by listening for hoarseness

38
Q

Hyperthyroid-Thyroidectomy

Could lead to what?

A

Vocal cord paralysis

39
Q

Hyperthyroid-Thyroidectomy

When there is paralysis of both cords, what will require immediate trach?

A

Airway obstruction

40
Q

Hyperthyroid-Thyroidectomy

Keep what at bedside?

A

Trach set

41
Q

Hyperthyroid-Thyroidectomy

Why would we need a trach? (3)

A
  • Swelling
  • Recurrent laryngeal nerve damage
  • Hypocalcemia
42
Q

Hyperthyroid-Thyroidectomy

Why would pt. have hypocalcemia?

A

PTH may have been removed

43
Q

Hyperthyroid-Thyroidectomy

S/s of hypocalcemia?

A

Rigid, tight muscles

NOT sedated

44
Q

Hyperthyroid-Thyroidectomy

Teach what?

A

How to support neck

45
Q

Hyperthyroid-Thyroidectomy

Keep what close?

A

Personal items

46
Q

Hyperthyroid-Thyroidectomy

HOB?

A

Elevated

47
Q

Hyperthyroid-Thyroidectomy

Nutrition?

A

Client needs more calories

48
Q

HYPOthyroid

Energy or no?

A

No energy–Fatigue!

49
Q

HYPOthyroid

Expression? Speech?

A

No expression

Speech slurred and slow

50
Q

HYPOthyroid

Weight?
GI?

A

Weight increase

GI decrease

51
Q

HYPOthyroid

Hot or cold

A

Cold

52
Q

HYPOthyroid

Period?

A

Amenorrhea

53
Q

HYPOthyroid

You may be taking care of totally ___ client

A

Immobile

54
Q

HYPOthyroid

DX–T4? TSH?

A

T4: Decrease
TSH: Increase

55
Q

HYPOthyroid

Tx?

A

Levothyroxine

56
Q

HYPOthyroid

Teaching about levothyroxine or liothyronine?

A
  • Take on empty stomach
  • On med forever
  • Energy level will increase with these drugs
57
Q

HYPOthyroid

People with hypothyroidism tend to have _____

A

Increase BP/CAD!!!

*worried about CV strain when you start these drugs

58
Q

HYPOthyroid

What are you worried about when starting levothyroxine or liothyronine?

A

MI!!!

Many ppl with hypothyroidism also have CAD or increase BP…. so when starting these drugs, worried about too much strain that could lead to MI

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