week 4 hyper/hypothyroid Flashcards
deficient hormones to normal to excess hormone is the __ of hormone regulation
scope
testes and thyroid are hormone organs. torf?
true
pancreas and ovaries are hormone organs. torf?
true
adrenals and pituitary are hormone organs. torf?
true
hypothalamus and parathyroids are hormone organs. torf?
true
puberty and old(small glands and reduced hormones) variations in hormone ___
regulation
in ___ the ant pituitary increases gonadotropin secretion
puberty
as you age, you can have low ADH leading to ___ dilute urine
more
alterations in growth and development and cognition are __ of hormones
consequneces
alts in metabolism and adaptive responses are __ of hormones
consequences
the __of hormones are hormone therapy and age
RF
the __of hormones are genes and obese
RF
the __of hormones are stress and trauma
rf
the __of hormones are cancer treatment and med conditions
rf
the __of hormones are fam history and chrom abnormalilties
rf
its ___ to exam the thyroid or testes
hard
note skin/hair color and texture when inspecting ___
glands
inspect posture, affect, and face with __
glands
you ___ thyroid, testes and ovaries
palpate
you auscultate enlarged thyroid and __
bruits
primary lab tests are thyroid and diabetic ___ work
lab
screening in infants and adults(___ and DM in at risk pts)
thyroid
F and E and stress RT ___ regulation
hormone
repro and development RT hormone ___
regulation
nutrition and BG RT ____ regulation
hormone
intracranial regulation RT hormone ___
regulation
thryrotoxicosis and hyperthyroidism are extremes of hyperthyroidism. torf?
true
euthyroid is ___ function
normal
myxedema coma is an extreme of ___
hypothyroidism
the hypothalamus talks to the thyroid gland that talks to thyroid hormones to ___ metabolism
increase
the hypothalamus talks to the thyroid gland that talks to the hypothalamus and ant pit gland. this is ____ feedback
neg
the hypothalamus secretes TRH to the ant pit gland. torf?
true
with __ metabolism, you see growth and development and increased catecholamine effect
increased
T3 and T4 are __ hormones
thyroid
the ant pit gland secrete TSH to the thyroid __
gland
TRH
thyroid releasing hormone
TSH
thyroid stimulating hormone
T3 is
triiodothyronine hormone
T4
thyroxine hormone
thyroid gland secretes T3/__ and calcitonin
4
in hyperthyroidism, you see low TSH and high __
t4
in P hypothyroidism, you see low T4 and high __
TSH
S hypothyroidism has low T4 and ____
TSH
goiter and nodules are __of the thyroid
issues
hyper/hypothyroidism and thyrotoxicosis are issues of the ____
thyroid
graves disease is ____
hyperthyroid
causes of hyperthyroidism are ___ nodular goiter and thyroiditis
toxic
causes of hyperthyroidism are ___ iodine and pituitary tumors
excess
causes of hyperthyroidism are ___ cancer
thyroid
more women get hyperthyroidism. torf?
tru
between 20-40 is normally when you see hyperthyroidism. torf
true
autoimmune and 80% of hyperthyroidism is __ diseaes
graves
smoke increases risk and autoimmune diseases add up with graves ___
disease
diffuse thyroid enlargement and excessive hormones are ____ disease
graves
with teens and growth, if __ growing check the hormones
not
metabolism is a big prob esp with the __ gland
thyroid
you see brittleness and coarseness with thyroid __
probems
with infants, do a heel stick to check different conditions torf?
true
when reading blood tests for thyroid, look at __ levels first
t4
in hyperthyroid, the pit ___ will slow down in releasing TSH
gland
hypothyroid, there is low t4 so pit wants to make TSH more. torf?
true
P hypothyroid is a ___ problem
thyroid
S hypo there is low t4 the pit wants more TSH but doenst make more. torf?
true
a goiter is an ___ thyroid gland and a lump
enlarged
nodules are tumors __ effectiveness of gland
blocking
hyperthyroid is fast metabolism and ___loss
weight
hyperthyroid is tc and ___RR
increased
hyperthyroid is fast metabolism and ___BP
high
hyperthyroid is fast metabolism and ___intolerant
heat
hyperthyroid is fast metabolism and ___of sleep/insomnia
lack
hyperthyroid is diarrhea and hyperactive ___
bowels
hyperthyroid is irritable and sweaty. torf?
true
hyperthyroid is fast metabolism and ___tissue sensitivity bc of SNS
increased
hyperthyroid is fast metabolism and ___lead to thyroid storm
can
hyperthyroid is fast metabolism and __ (a asymetric neck)
goiter
with a goiter, asucultate for bruits. torf?
true
hyperthyroid is fast metabolism and ___(abnormal eye appearance or function)
ophthalmopathy
ophthalmopathy involves exophthalmos which has increased fat deposits and fluid and the __ are forced out
eyeballs
thyroid surgery can lead to ___ storm
thyroid
acute, rare and sever are ranges of ___ storm
thyroid
Severe increase in HR, and B/P are thyroid ____
storm
heart failure and dangerously high increase in Temp-up to 106 are ___ storm
thyroid
agitation and delirium are ___ storm
thyroid
seizures and vomiting are ___ storm
thyriod
diarrhea and coma are thyroid __
storm
thyroid storm can bc due to infection and trauma. torf?
true
thyroid storm can bc due to surgery and thyroidectomy. torf?
true
_____ of thyroid gland during surgery can result in release of large amounts of thyroid hormone
manipulation
hyperthyroid is low TSH and high t4. when diagnosing look at the ___t3/4
total
RAIU is an oral iodine tablet and ___ Graves’ disease from other forms of thyroiditis
differentiates
when caring for hyperthyroid, ___ TSH production(block adverse effects of thyroid hormones)
stop
when caring for hyperthyroid, ___ antithyroid meds for mild cases
give
when caring for hyperthyroid, ___ it may take months to get the right drug level
know
when caring for hyperthyroid, ___ that too high levels of dosing can cause hypothyriod
know
when caring for hyperthyroid, ___ the formation of TSH with PTU and methimazole
block
when caring for hyperthyroid, do a thyroidectomy to ___ 50-90% of thyroid
remove
when caring for hyperthyroid, have a __ cal diet(4000-5000) and 6 full meals a day
high
have 1-2g/kg of Protein with ___ and higher carb intake
hyperthyroidism
with ___ avoid spices and coffee and fiber
hyperthyroidism
with hyperthyroidism, walk if you can due to the ___ of activity intolerance
diagnosis
with hyperthyroidism, the ____ are emotion needs and fluid deficit
diagnosis
with hyperthyroidism, ___ are hyperactive bowels and cog probs
diagnosis
with hyperthyroidism, the ___ is less cal than your body needs intaked
diagnosis
with hypothyroidism, there is ___ of thyroid hormone and slow metabolic rate
deficit
with hypothyroidism it happens more in __ than man
women
with hypothyroidism the ___ increases with age esp at 60
incidence
eore is hypothyroidism. torf
true
tiger is hyperthyroidism. torf?
true
P hypothyroidism there is ___ of thyroid tissue or defective hormone synthesis(high TSH and low t3/4)
destruction
S hypothyroid is ____ by pit or hypothalamus dysfunction(low TSH/TSH)
caused
there is __ deficiency and gland atrophy with hypothyroidism
iodine
there is ____ of hyperthyroidism and drugs ass with hypothyroidism
treatment
there is cretinism ass with ___thyroidism
hypo
with hypothyroidism, you see hashimotos and __ body processes
slow
with hypothyroidism you see __ energy and weight gain
no
with hypothyroidism you see cold intolerance and __ bowels
slow
with hypothyroidism its a __ onset unless ablation bf it
slow
with hypothyroidism its a ___ onset with overtreatment of hyperthyroid
slow
with hypothyroidism its a __ onset unless surgical removal bf onset
slow
with hypothyroidism you see high TSH with ___
primary
with hypothyroidism there is low TSH with ___
secondary
when diagnosing hypothyroid look for thyroid __
Ab
with hypothyroidism you want to ___to euthyroidism ASAP
restore
with hypothyroidism you want to do a ____ cal diet
LOW
with hypothyroidism give what med?
levothyroxine/synthroid
start __ at a small dose
levothyroxine
with levothyroxine M __side effects like chest pain
CV
with levothyroxine M __side effects like dysrhythmias
CV
with levothyroxine M for weight __ and nervousness
loss
with levothyroxine M tremors and insomnia. torf?
true
with levothyroxine you see that you can give the pt ___
hyperthyroid
with levothyroxine ___ the dose in 4-6 week intervals PRN
increase
with levothyroxine you see a ___ therapy(everyday) and hormone monitoring
lifelong
with hypothyroidism, ___ diagnosis are more than the body needs cal wise
nurse
with hypothyroidism, ___ diagnosis are contsipation and mem probs
nurse
with hypothyroidism, __ cal intake and increase fiber and water
decrease
with hypothyroidism eat more __ green veggies and meat and beans
leafy
with hypothyroidism, __ more whole grain and fruits
eat
with hypothyroidism, __ your activity
increase
__ risk for hypothyroid is neck irradation and post pardum
high
__ risk for hypothyroid is 50+ women and fam history
high
give levothyroxone in morn due to ___ metaboilsm
increasing
__ for hypothyroid is to teach on ways to prevent skin breakdown and emphasize need for warm environment
implementation
you are irritable and need a thyroidectomy with ___
hyperthyroidism
the autoimmune disease with hyperthyroidism is ____
graves disease
with __ your BMR, apetite and weight loss are increased
hyperthyroidism
weight gain and constipation are __ of hypo
cm
HR and contractility __ with hypo
decrease
fatigue and lethargic are __ of hypo
cm
treat __ with levothyroxine
hypo
thyroid levels ARE ___, THE HYPOTHALAMUS WILL RELEASE TRH TO PIT THEN PIT RELEASES TSH, THEN THYROID GALND STIMULATES T3/4 THEN CIRCULATING LEVELS OF THYROID HORMONES ARE FROM T3/4 RELEASE
low
