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Med Surg > Thyroid Disorders > Flashcards

Thyroid Disorders Flashcards

1
Q

T3 and T4 action

A

Increased metabolism
Increased HR and RR
Increased in glucose intake into cells > decreased blood glucose

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2
Q

Calcitonin

A

Secreted to decrease Ca+ levels in blood

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3
Q

Parathyroid Hormone

A

Stimulates Ca+ to go from the bones to the blood

Stimulated renal absorption of Ca+

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4
Q

If a pt. has parathyroid removed what are they are risk for?

A

Hypocalcemia

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5
Q

Hypothalamus releases:

A

Thyroid Releasing Hormone

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6
Q

Pituitary gland releases:

A

Thyroid Stimulated hormone

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7
Q

Eeyore is which exemplar?

A

HYPOthyroidism

Very slow, sluggish

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8
Q

Tigger is which exemplar?

A

HYPERthyroidism

Fast, tall and skinny

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9
Q

Hashimoto’s Thyroiditis

A

Autoimmune disease that causes hypothyroidism

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10
Q

Iodine deficit causes:

A

Hypothyroidism

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11
Q

Which med can cause hypothyroidism?

A

Lithium

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12
Q

What is lithium a Tx for relating to thyroid?

A

Hyperthyroidism

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13
Q

Manifestations of Hypothyroidism

A 
Fatigue
Weight gain
Increased sleep
Deceased appetite
Susceptibility to cold temp
Decreased HR, RR
Decreased cardiac contractibility
Decreased GI motility
Hair loss
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14
Q

Myxedema

A

fluid collection associated with generalized non-pitting edema

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15
Q

Lab want to monitor with hypothyroidism

A

T3 - low
T4 - low
TSH - elevated in primary

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16
Q

Tx for hypothryoidism

A

Levothyroxine

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17
Q

Levothyroxine

A

Take in AM on empty stomach
Use caution w/ cardiovascular pt.
Must take lifelong
Thyroid levels need to be monitored when med adjusted

18
Q

Myxedema Coma Signs and Sypmtoms

EXTREME HYPOTHRYOIDISM

A 
Hypoxia
CO2 retention - Resp. acidosis
Hypoventilation
Low HR
F and E imbalances
Hypothermia
Hypoglycemia
Hyponatremia - b/c excess fluid
19
Q

Myxedema Coma Assess

A

Hyponatremia
Hypoglycemia
Prolonged QT interval
Cool extremities

20
Q

Tx for hyponatremia

A

Water restriction
Spironolactone
Oral Na+ supplement

21
Q

Pt. with Myxedema Coma is prescribed opioid for pain. What should the nurse do?

A

Myxedema Coma pt. are extremely sensitive to sedatives, analgesic, and anesthetics b/c slow metabolism - question prescription

22
Q

Myxedema coma is a severe complication of what disorder?

A

Hypothyroidism

23
Q

Tx for Myxedema Coma

A 
IV levothyroxine
Support airway
Tx hyponatremia
Tx bradycaria - Atropine
Warming blankets
Fluid management
24
Q

Grave’s disease

A

Autoimmune disease that causes Hyperthyroidism

25
Q

Manifestation of Hyperthyroidism

A 
Exothalamos
Incresed HR - dysrhythmias
Heat intolerance
Fatigue
Nervousness
Insomnia
Weight loss
Increased appetite
Hair loss
26
Q

Lab data for hyperthyroidism

A

T3 - elevated
T4 - elevated
TSH - decreased (primary) increased (secondary)

27
Q

Goiter is caused by what hormone?

A

Increased TSH

28
Q

Meds for Hyperthyroidism

A

Beta-blockers - control HR
Anti-Thyroid agents - Methimazole and Lithium carbonate
Glucocorticoids
Iodine

29
Q

Possible Surgical complications for Hyperthyroidism

A

Airway compromise
Hemorrhage
Hypocalcemia
Damage to lyngeal nerve

30
Q

Iodine-Potassium Tx

A

Decrease production of thyroid hormone and decrease blood flow to thyroid gland

31
Q

Surgical management for Hyperthyroidism

A

Thyroidectomy

Could potentially remove parathyroid

32
Q

Signs of Hypocalcemia

A 
Trousseau and Chvostek's Sign
Excitability of nerves and muscles
Muscle spasms
Dysphagia
Wheezing
Bronchospasms
33
Q

Tx for Hypocalemia

A

IV calcium gluconate

Oral supplements

34
Q

Signs the pt. is have a throat hemorrhage after thyroidectomy?

A

Repeated swallowing when not drinking or eating anything

35
Q

Tx for hemorrhage or airway compromise after thyroidectomy

A

Trach tray at bedside

Suction setup

36
Q

Complication of Hyperthyroidism:

A

Thyroid Storm

37
Q

Manifestation of Thyroid Storm

EXTREME HYPERTHYROIDISM

A 
Tachycardia
Fever
High Systolic HTN
Abd pain
LOC changed
38
Q

Tx for Thyroid Storm

A

Glucocorticoids
Airway management and IV fluids **
Beta-blockers
Cooling blankets

39
Q

What are the nurse’s priorities when a pt. is having a thyroid storm?

A

Airway Management

IV fluid resuscitation

40
Q

Why give a pt. with a thyroid storm glucocorticoids?

A

Glucocorticoids decreased conversion of T4 to T3

Decreases TSH

41
Q

What should the nurse monitor for in a pt. with thyroid storm?

A

Cardiac probs
Seizures - seizure precautions
Respiratory complications

Med Surg (22 decks)

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