Thyroidectomy chapter 78 ATI ALT PDF

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Summary

Thyroidectomy chapter 78 ATI ALT...

Description

ACTIVE LEARNING TEMPLATE:

Therapeutic Procedure

Berry STUDENT NAME Casey _____________________________________ Client care for thyroidectomy PROCEDURE NAME ____________________________________________________________________

78 REVIEW MODULE CHAPTER ___________

Description of Procedure The surgical removal of all or part of the thyroid gland

Indications indications of hypocalcemia which can resuld from parathryoid damage intraoperatively (perioral or extremity tingling, muscle twitching for positive Chvostek's and Trousseau's signs

Outcomes/Evaluation Correct diffuse goiter and thyroid cancer Post total throidectomy, client will need lifelong hormone replacement therapy High protein high carb diet prior to surgery

Potential Complications Hemorrhage Thyroid storm/crisis Airway obstruction Hypocalemia and tetany Nerve Damage

ACTIVE LEARNING TEMPLATES

CONSIDERATIONS

Nursing Interventions (pre, intra, post) Pre: Explain the purpose of the throidectomy to the client the client should receive iodine for 10-14 days before surgery Intra: Support neck when performing deep breathing and coughing exercises Expect to have a neck incision covered with a dressing and possible drain Hoarseness and sore throat can occur Post: Keep client semi Fowler, deep breathing exercises q 30-60 minutes, keep emergency equitment at bedside

Client Education Support the neck while performing coughing exercises or changing positions Report incisional drainage, swelling, or redness which can indiate infection Report fever, increased restlessness, palpatations or chest pain

Nursing Interventions Maintain a patent airway Provide continuous cardiac monitoring Administer acetaminophen to decrease temperature

THERAPEUTIC PROCEDURE

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