NMNC 2310 EXAM 3 VERIFIED ACCURATE STUDY
GUIDE
Cortisol - Answers - ◦Stimulates hepatic glucose formation, inhibits peripheral glucose
use, inhibits protein synthesis, stimulates mobilization of glycerol and free fatty
acids=increases blood sugar
Aldosterone - Answers - ◦Promotes renal reabsorption of sodium and excretion of
potassium and hydrogen ions
Androgens - Answers - the main class of male sex hormones
◦Actions similar to estrogen and testosterone
Risk Factors of Metabolism Issues - Answers - ◦Age, Gender
◦Autoimmune Conditions
◦Chronic Medical Conditions
◦Cancer and Cancer Treatment
◦Genetics or Chromosomal Deficiencies
◦Hormonal Supplement Therapy
◦Lifestyle-Obesity, Sedentary, Stress, Trauma
Hyperthyroidism Etiology - Answers - ◦GRAVE'S DISEASE
--Most Common Cause
--Diffuse Thyroid Enlargement with Excess Thyroid Hormone Secretion
◦Toxic Nodular Goiter
◦Thyroiditis
◦Excess Iodine Intake
◦Pituitary Tumors
◦Thyroid Cancer
Women age 20-40
Hyperthyroidism Manifestations - Answers - -tachycardia
-tremors
-diaphoresis
-Intolerance to heat
-Goiter
-Fine, straight hair
-Irritability
-Increased systolic BP
-Dyspnea on exertion
-Muscle wasting
-Weigh Loss
, -Localized Edema
-Menstrual changes (Amenorrhea)
-Diarrhea
-Bulging eyes
-Finger clubbing
-Thin, brittle nails
-Decreased libido
Hyperthyroid application - Answers - ◦Priority symptoms
◦ABCs-tachycardia, increased BP, dysrhythmias, increased respirations
◦Fluid and electrolytes-diarrhea, thirst, weight loss
◦Early symptoms
◦Weight loss, nervousness
◦Common complaints
◦Heat intolerance, fatigue, unable to concentrate
◦Body image: neck swelling, exophthalmos
◦Treatment goals
◦Decrease circulating T3 and T4, correct cause, symptom treatment
Hyperthyroid labs - Answers - ◦Decreased TSH
◦Increased Free T4
◦Total T3 and T4 usually increased, but not as definitive
Thyroid Storm Triggers - Answers - ◦Often from stress (infection, trauma, surgery) with a
patient with preexisting hyperthyroidism
thyroid storm manifestations - Answers - ◦Severe tachycardia,
heart failure, shock, hyperthermia, agitation,
delirium,
seizures, abdominal pain, vomiting,
diarrhea,
coma
Treatment of thyroid storm - Answers - Treatment:
propylthiouracil, propranolol, monitor cardiac and respiratory status, monitor and control
fever, replace fluid and electrolytes, rest and symptom management
If exophthalmos present:
Apply artificial tears to relieve eye discomfort
Restrict salt and elevate head of bed
Dark glasses
Tape eyelids closed if needed for sleep
ROM of intraocular muscles
Interprofessional Care: Hyperthyroid - Answers - ◦Goals
GUIDE
Cortisol - Answers - ◦Stimulates hepatic glucose formation, inhibits peripheral glucose
use, inhibits protein synthesis, stimulates mobilization of glycerol and free fatty
acids=increases blood sugar
Aldosterone - Answers - ◦Promotes renal reabsorption of sodium and excretion of
potassium and hydrogen ions
Androgens - Answers - the main class of male sex hormones
◦Actions similar to estrogen and testosterone
Risk Factors of Metabolism Issues - Answers - ◦Age, Gender
◦Autoimmune Conditions
◦Chronic Medical Conditions
◦Cancer and Cancer Treatment
◦Genetics or Chromosomal Deficiencies
◦Hormonal Supplement Therapy
◦Lifestyle-Obesity, Sedentary, Stress, Trauma
Hyperthyroidism Etiology - Answers - ◦GRAVE'S DISEASE
--Most Common Cause
--Diffuse Thyroid Enlargement with Excess Thyroid Hormone Secretion
◦Toxic Nodular Goiter
◦Thyroiditis
◦Excess Iodine Intake
◦Pituitary Tumors
◦Thyroid Cancer
Women age 20-40
Hyperthyroidism Manifestations - Answers - -tachycardia
-tremors
-diaphoresis
-Intolerance to heat
-Goiter
-Fine, straight hair
-Irritability
-Increased systolic BP
-Dyspnea on exertion
-Muscle wasting
-Weigh Loss
, -Localized Edema
-Menstrual changes (Amenorrhea)
-Diarrhea
-Bulging eyes
-Finger clubbing
-Thin, brittle nails
-Decreased libido
Hyperthyroid application - Answers - ◦Priority symptoms
◦ABCs-tachycardia, increased BP, dysrhythmias, increased respirations
◦Fluid and electrolytes-diarrhea, thirst, weight loss
◦Early symptoms
◦Weight loss, nervousness
◦Common complaints
◦Heat intolerance, fatigue, unable to concentrate
◦Body image: neck swelling, exophthalmos
◦Treatment goals
◦Decrease circulating T3 and T4, correct cause, symptom treatment
Hyperthyroid labs - Answers - ◦Decreased TSH
◦Increased Free T4
◦Total T3 and T4 usually increased, but not as definitive
Thyroid Storm Triggers - Answers - ◦Often from stress (infection, trauma, surgery) with a
patient with preexisting hyperthyroidism
thyroid storm manifestations - Answers - ◦Severe tachycardia,
heart failure, shock, hyperthermia, agitation,
delirium,
seizures, abdominal pain, vomiting,
diarrhea,
coma
Treatment of thyroid storm - Answers - Treatment:
propylthiouracil, propranolol, monitor cardiac and respiratory status, monitor and control
fever, replace fluid and electrolytes, rest and symptom management
If exophthalmos present:
Apply artificial tears to relieve eye discomfort
Restrict salt and elevate head of bed
Dark glasses
Tape eyelids closed if needed for sleep
ROM of intraocular muscles
Interprofessional Care: Hyperthyroid - Answers - ◦Goals
