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Thyroid Review

Thyroid - Too much, Too little - Think Metabolism - NCLEX

QuestionAnswer
a nurse reinforces instruction to a pt taking synthroid (levothyroxine(. the nurses determines that the teaching was effective if the pt states that he or she will take the medication on an empty stomach
A pt is dx with hyperthroidism you expect the dr to order which medication methimazole (tapazole)
a pt with dry skin & unintended weight gain enters the clinic with. You suspect tat the pt is hypothyroid bc you also see the following symptoms constipation
a pt comes in 4 routine check up & complains of unintended weight loss, embarrassing diaphoresis and heart palpitations. You are not surprised when the pt also has high BP
a pt is in thyroid storm you quickly do what? administer oxygen, administer PTU (proplthiouracil)
A pt has hyperthroidism. In order 2 counter the potential cardiac symptoms, the nurse which drug to be ordered? metoprolol (Lopressor)
preop thyroidectomy the patient needs to be euthroid prevent thyroid storm
what are the signs and symptoms of thyroid storm? Tachycardia and restlessness
which of he following equipment needs to be at the bedside of the pt post thyroidectomy tracheostomy kit
what are key pts in the adminstration of levothyroxine (synthroid) and liothyronine (cytomel)? use with caution n the elderly, start replacement therapy slowly, report palpitations or chest pain, insomnia, nervousness, tachycardia and angina may be signs of overdose
what is the key phrase that shows understanding of thyroid disease? think metabolism
define primary and secondary types of hypothroidism primary: due to the disease or loss of the thyroid gland r/t iodine deficiency or surgical removal of the gland secondary: due to failure of the anterior pituitary gland to stimulate the thyroid gland or failure of the target tissues to respond to the
what are early signs of hypothyroidism weakness, fatigue, cold intolerance, constipation, unintended weight gain, depression, joint or muscle pain,thin, brittle fingernails paleness
what are late signs of hypothyroidism slow speech, dry, flaky skin thickening of the skin, puffy face, hands and feet decreased taste and smell thinning eyebrows hoarseness abnormal menstrual periods
medication given most for hypothyroidism synthroid (levothyroxine), given on an empty stomach to increase absorption
what are signs of complication myxedema coma? decreased respiration's, decreased CO, increased cerebral hypoxia, stupor, hypothermia, bradycardia hypotension
what are the nursing actions taken for myxedema coma? airway, IV support circulation and glucose level, EKG: mx for dyshythmias and other cardiac affects, check blood gases, warm with blankets monitoring until temp ok, replace hormone with IV levothyroxine, I&O with daily weight
graves disease is hypo or hyperthyroidism? hyperthyroidism
what are sxs of thyroid storm? hyperthermia/diaphoresis, restlessness/anxiety/ increased BP, HTN, delirium, vomiting, abdominal pain, tachydysrhythmias
Created by: starr8904