Hyperthyroidism System Disorder PDF

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ACTIVE LEARNING TEMPLATE:

System Disorder

Espinosa ST UDENT NAME Catherine _____________________________________ Hyperthyroidsm DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem Hyperactivity of the thyroid gland with sustained increase in synthesis and release of thyroid hormones.

-Activity Intolerance -Impaired Nutritional Status -Risk for impaired electrolyte balance

49 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention Reduce symptoms by: -Avoiding caffeine -Reducing Stress -Smoking Cessation

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

-Women>Men -20-40 years old -Family history of thyroid disease or autoimmune disease

Laboratory Tests

-Goiter -Bruits upon auscultation -Exopththalmos (protrusion of eyeballs from orbits, usually bilateral)

Diagnostic Procedures

-TSH levels -Thyroid antibody tests -T3 and T4 tests.

-A radioactive iodine uptake (RAIU) test -Thyroid Scan -Thyroid Ultrasound

PATIENT-CENTERED CARE

Nursing Care -Monitor for dysrhythmias -Ensure adequate O2 -Give IV fluids to replace fluid and electrolyte losses esp from N&V -Ensuring adequate rest by providing a calm, quiet -Encouraging and assisting with exercise involviing large muscle groups.

Therapeutic Procedures -Surgical therapy (subtotal thyroidectomy) -Nutritional Therapy (high calorie diet) -Radioactive Iodine Therapy

ACTIVE LEARNING TEMPLATES

-Airway obstruction after thyroid surgery is an emergency-keep O2, suction equipment, and tracheostomy tray available in the patient's room. -If exophthalmos is present there is potential for corneal injury related to irritation and dryness. -If the patient is diaphoretic, use light bed coverings and change the linen often.

Complications Medications -Antithyroid Drugs -Iodine -Beta Adrenergic Blockers -Rituximab (Rituxan)-Graves' opthalmopathy

Client Education -Patient to sit upright as much as possible to promote fluid drainage from periorbital area. -Before surgery, show patient how to support head manually while turning in bed to minimize stress on the suture line. -Encourage regular exercise to stimulate the thyroid gland.

Interprofessional Care

-Acute thyrotoxicosis: excess amount of thyroid hormones are released into circulation, life threatening emergency -Atrial Fibrilation

Endocrinologist -TeprotumumabGraves' opthalmopathy

Endocrine Surgeon Preventive Medicine Specialist

-Osteoporosis...