Nurse 623 Exam 2 PPT, Complete With answers.

Nurse 623 Exam 2 PPT, Complete With answers. What clues tell you there is a potential endocrine/ metabolic problem - Correct Answer hursituism, gynecomastia, increased neck size, polydipsia, polyphagia, polyuria and unexplained wieght gain or loss Hyperthyroidism (def) - Correct Answer Excess secretion or synthesis of one or both Thyroxine (T4) or tridodthyronine (T3) Hyperthyroidism causes - Correct Answer More common in women than men Ages 20-40 Caused by Graves/ Thyroiditis Hyperthyroidism CLinical Presentation - Correct Answer Hyperthyroidism diagnostic tests - Correct Answer Initial : TSH (less than 0.35) Free T4 ( above 12.5 If free T4 noral than check T3 CBC, LFT Nuclear MedCan, 24 hour iodine reuptake( shows hot and cld spots) Ultrasound ( Cyst vs Nodule) Fine needle biopsy ****Medications can alter lab values: anabolic steroid, androgens, estrogens, phenytoin, slaicilates, heparin, iodine components*** Hyperthyroidism Treatment - Correct Answer Depends on cause and pt characteristics Goal: to reach a euthyroid state, minimize adverse effect of treatment, decrease incidence of hypothyroidism Treatment of choice: Radioactive Iodine Possible meds: BB for faster symptom relief ntithyroid med: PTU or MMI Surgery Long term effects of inadequate treatment - Correct Answer Heart disease, Osteoporosis, mental disease and infertility Patient education for Hyperthyroidism - Correct Answer -Explain the disease process -Treatment options -Need for strict Medication compliance -Report s/s of infection (incidence incraese due to ANTI-thyroid Tx) -Need for lifestyle changes: rest, excercise, sleep nutrition and relaxation Hyperthyroidism follow up - Correct Answer -Thyroid tests at least twice per year (initially check 1 month and 3 months unless symptomatic) -