MedSurg II Endocrine Exam 4 Review- Az college of nursing

Hormone secretion does what when circulating levels drop? - ANSWER increase Elevation of T3 T4 levels being released means - ANSWER TSH levels drop How would you palpate and assess a tumor on the thyroid? - ANSWER ISTHMUS. Stand behind the pt (posterior approach) and palpate anterior neck below chricoid cartilage and have the patient swallow. What is the best indication to determine if someone has hypothyroidism - ANSWER TSH level (high) What would be the difference between thyroid storm and hyperthyroidism - ANSWER thyroid storm will appear with fever, tremors, severe htn, tachycardia, CHANGE IN LOC. What clinical manifestations would we see with hyperthyroidism? - ANSWER tachycardia, weight loss, thyroid bruits, hairloss, bulging eyes (exopthalmus), goiter, anxiety, insomnia, increased appetite Not all hormones need to be imbalanced to - ANSWER diagnose Anytime we have a subtotal or total thyroidectomy pts are at risk for - ANSWER hypoparathyroidism and hypothyroidism Postop complications for total or subtotal thyroidectomies - ANSWER airway (swelling), laryngeal nerve damage (change in voice or tone, stridor), hypocalcemia (hypoparathyroidism), hyperthyroid symptoms (thyroid storms), hyperthermic For hypoparathyroidism we wanna check what type of calcium level - ANSWER ionized calcium level A1C levels should be less than what for diabetics? - ANSWER 7 In A1C lower levels are always - ANSWER better Grave's disease is asscoiated with - ANSWER hyperthyroidism What is hashimotos associated with - ANSWER hypothyroidism Pt education for transsphenoidal hypophysectomy - ANSWER keep low ICP