Title | Active Learning Template sys Dis Hypothyroidism |
---|---|
Course | Professional Nursing 2 |
Institution | Rasmussen University |
Pages | 1 |
File Size | 87.9 KB |
File Type | |
Total Downloads | 89 |
Total Views | 180 |
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ACTIVE LEARNING TEMPLATE:
System Disorder
B ST UDENT NAME Carl _____________________________________ Hypothyroidism DISORDER/DISEASE PROCESS __________________________________________________________
Alterations in Health (Diagnosis) 1st degree- thyroid gland dysfunction. 2nd degree- anterior pituitary or target cell dysfunction, 3rd degreehypothalamus not producing TR factor
Pathophysiology Related to Client Problem When there is inadequate amount of circulating t3/4 hormones which leads to decreased metabolic rate that affects all the body systems.
REVIEW MODULE CHAPTER ___________
Health Promotion and Disease Prevention Long drug therapy needed and shouldn't be stopped abruptly. Diet should be low calories, adequate amount of iodine, selenium, and zinc
ASSESSMENT
SAFETY CONSIDERATIONS
Risk Factors
Expected Findings
Female, older than 60 years, exposure to radiation in the neck, prior thyroid surgery, inadequate iodine intake, autoimmune disease
Laboratory Tests
Early findings include: irritability, fatigue, cold intolerance, constipation, weight gain, depression Late findings include: decreased heart rate, respiration rate, blood pressure, dysarrhythmias, dry skin, pleural effusion
Diagnostic Procedures
Level of T3, T4, TSH, thyroid antibodies, Cholesterol, hbg, hct, rbc
-Xray, CT scan, MRI, radioisotopes can, sinus bradycardia, ST deviations
PATIENT-CENTERED CARE
Nursing Care Monitoring cardiac changes, LOC, medication administrations Keep warm with extra clothing and blankets
Therapeutic Procedures -Make sure the levothyroxine is taken as directed -Encourage to verbalize concerns if any
ACTIVE LEARNING TEMPLATES
-Fall risk -Altered metabolism -Mental changes -Loss of Consciousness -Immobility due to depression
Complications Medications Levothyroxine
Client Education Life long drug therapy might be needed. Do not take meds on empty stomach Know the side effects and the symptoms and when to call HCP
Interprofessional Care PCP, Nurse, Endriconologist, Home Health Nurse, Nutritionist
-Myxedema coma which is life threatning condition when the condition is untreated or is impacted by stress. -Suddenly stopping levothyroxine can lead to decreased HR/BP/RR/CO, coma, hypoxia
THERAPEUTIC PROCEDURE
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