Nurse 623 Exam 2 PPT
QUESTIONS AND VERIFED
CORRECT ANSWERS
GRADED A+ [LATEST] 100%
GUARANTEED PASS
Hypothyroidism clinical presentation - CORRECT ANSWER-
Hypothyroidism diagnostics - CORRECT ANSWER-TSH and Free T4 (high TSH/ low FT4)
***if TSH low, norm or insuff elevtaed and FT$ low then need to exclude for hypothalamus or
pituitary prob***
additional once confirmed:
CBC, CMP, UA, Lipid Panel, EKG, CXR
Hypothyroidism treatment - CORRECT ANSWER-Goal;: normalize NOT supress TSH
Daily admin of hormone levothyroxine
Synthroid 1.6mcg/kg/day
older adults with CAD- start with 1/2 the expected dose nd increase gradually every 4-6 weeks
, severe illness, major surgery and pregnancy can alter dose
DOse in am to avoid insomnia
Hypothyroidism follow up - CORRECT ANSWER--TSH 4-6 weeks after theraphy starts (target 0.3-
3)
Biannual or annual once stable
annual FT4 and TSH
-Watch for overtreatment
-Refer to Endo when :
Patient education for hypothyroidism - CORRECT ANSWER--Disease process
-Mediications:
Same brand
Drugs that interfere
Dosing
-Nutrition
-Prevention of constipation
Signs and symptoms of thyroid CA - CORRECT ANSWER-Lump or nodule n neck
Painless
Tightfeeling
Difficulty breathing
Hoarseness
QUESTIONS AND VERIFED
CORRECT ANSWERS
GRADED A+ [LATEST] 100%
GUARANTEED PASS
Hypothyroidism clinical presentation - CORRECT ANSWER-
Hypothyroidism diagnostics - CORRECT ANSWER-TSH and Free T4 (high TSH/ low FT4)
***if TSH low, norm or insuff elevtaed and FT$ low then need to exclude for hypothalamus or
pituitary prob***
additional once confirmed:
CBC, CMP, UA, Lipid Panel, EKG, CXR
Hypothyroidism treatment - CORRECT ANSWER-Goal;: normalize NOT supress TSH
Daily admin of hormone levothyroxine
Synthroid 1.6mcg/kg/day
older adults with CAD- start with 1/2 the expected dose nd increase gradually every 4-6 weeks
, severe illness, major surgery and pregnancy can alter dose
DOse in am to avoid insomnia
Hypothyroidism follow up - CORRECT ANSWER--TSH 4-6 weeks after theraphy starts (target 0.3-
3)
Biannual or annual once stable
annual FT4 and TSH
-Watch for overtreatment
-Refer to Endo when :
Patient education for hypothyroidism - CORRECT ANSWER--Disease process
-Mediications:
Same brand
Drugs that interfere
Dosing
-Nutrition
-Prevention of constipation
Signs and symptoms of thyroid CA - CORRECT ANSWER-Lump or nodule n neck
Painless
Tightfeeling
Difficulty breathing
Hoarseness