pass
Hyperthyroidism is also called
Grave's disease or hypermetabolism
Tip to remember Grave's disease s/s's
"Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold
tolerance, hot intolerance
Treatment for Grave's disease
Radioac"ve Iodine, PTU (put thyroid under), surgically remove
Total thyroidectomy ... totals get
tetany, need lifelong hormone replacement
A(er thyroidectomy pa"ents are at risk for
hypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so
tetany, parasthesia
parathesia
numbness and "ngling, first sign of electrolyte imbalance
Subtotal thyroidectomy ... subs get
storm
S/S of thyroid storm
Extremely high vital signs, hyperpyrexia, psycho"c delerium
How to treat thyroid storm
give o2, lower temp to spare brain
Risks post op for total thyroidectomy
airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy
airway, hemorrage for 1st 12 hours then for 12-48 hours thyroid storm
Hypothyroidism is also called
, Myxedema or hypometabolism
S/S of mydexema
everything is down, cons"pa"on, heat tolerance, cold intolerance
Treatment for mydexema
give thyroid medica"ons
Where to put the 5 ice packs to cool a thyroid storm pa"ent
neck pits groin
If you cool a pa"ent too fast what might happen?
Heart arrythmias
Never hold the hormone for what pa"ent?
pa"ent who is NPO with mydexema
Addison's disease easy way to remember
Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember
A in Adrenal stands for Addison's
C in Cortex stands for Cushing's
Addison's disease is
undersecre"on of adrenal cortex, not enough hormone, BRONZE/tan, go into shock very
easily. STRESS can trigger.
Addison's disease treatment
give a steroid, chronic steroid therapy
Cushing's syndrome
Over secre"on of adrenal cortex, too much hormone, too much steroid.
S/S of Cushing's syndrome
same as steroid use ... moon face, think cushman "I'm mad I have an infec"on", high blood
sugar, losing Potassium,
Treatment for Cushing's syndrome
Surgery, bi or uni lateral adrenalectomy (bilateral is worse)
Donning PPE's order