UTA NURS-5335 Module 3 Test With Complete Solution

What is Hypothyroidism? - ANSWER The clinical state resulting from a reduction int he amount of circulating free thyroid hormone, or from resistance to the action of thyroid hormone Anemia, hyponatremia, hyperlipidemia, lethargy, Decreased libido, menstrual irregularities, infertility, decreased BP, weight gain, swelling of hands and feet, periorbital edema, intolerance to cold, memory loss, constipation, hair loss, bradycardia, delayed DTRs are a sign of _________________________? - ANSWER Hypothyroidism Risk factors for Hypothyroidism? - ANSWER old age, family history, postpartum, pituitary disease, hypothalamic disease, autoimmune disease, treatment of hyperthyroidism, surgical removal of thyroid gland, treatment with lithium, interferon, amiodarone What is Hyperthyroidism? - ANSWER Where does secondary thyroid dysfunction occur? - ANSWER Secondary adrenal insufficiency can occur if the pituitary is diseased. This is due to inadequate production of ACTH. Where does primary thyroid dysfunction occur? - ANSWER primary adrenal insufficiency refers to when the adrenal gland is damaged and hinders production of hormones May be from autoimmune response, infections, blood loss, or tumors Where does tertiary thyroid dysfunction occur? - ANSWER hypothalamus/ anterior pituitary Graves disease cause Hyper or Hypothyroidism? - ANSWER Hyperthyroidism Hashimotos thyroiditis cause hyper or hypothyroidism? - ANSWER Hypothyroidism Primary hypothyroidism - ANSWER TSH elevated T4 low T3 normalMost common cause of thyroid disease? - ANSWER Autoimmune disease Diagnostics: Hypothyroidism TSH ________ T4 ________ - ANSWER TSH- elevated T4- low Subclinical hypothyroidism TSH T4 - ANSWER TSH- elevated T4- normal Diagnostics hyperthyroidism (refer to endocrinologist) TSH T3 - ANSWER TSH- low T4- high Hypothyroidism drug of choice is? - ANSWER levothyroxine (T4) Levoxyl, synthroid, levothyroid Tablets: 25 mcg, 50 mcg, 100 mcg, 112 mg, 125 mcg, 137 mcg, 150 mcg, 200 mcg, and 300 mcg What drug replaces T3 & T4 - ANSWER Liothyronine sodium: -(Cytomel) plant based Desiccated thyroid preparations: Armour thyroid (bovine animal thyroid) Contain thyroxine and triiodothyronine