: Adult Health II (NR-325) Week1 Endocrine System Notes (Verified Solutions)

DISORDERS
HYPERTHYROIDISM : excessive circulating HYPOTHYROIDISM :
Deficiency of

thyroid hormone .
thyroid hormone .




*
Hypermetabolic state # *
Hypo metabolic state #
'
RISK FACTORS . . .
-

RISK FACTORS . . .




Grave 's Disease :( toxic diffuse goiter)→
> >
More common in women than men
most common cause Female / 30 Uoylo are affected 7- 10x more
- -
-




>
Toxic Nodular Goiter : less common , than males .




Overproduction of TH due to
>
Inadequate intake of iodine
pretense of thyroid nodules .
>
Radiation therapy to head / neck
>
Exogenous Hyperthyroidism :(awed by "" " " " dosage
>
Meds : lithium + amiodarone
Of thyroid hormone .
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EXPECTED FINDINGS . . .




•

EXPECTED FINDINGS . . .
>

Fatigue / lethargy / lot sleep / day )
>

Irritability
>
Heat intolerance
1011W / tnappetite
>

weight
>
cold intolerance

Insomnia / interrupted sleep weight gain w/ Orin caloric intake
> >
.




Tachycardia palpation tdysrnythmtas
>
Mental dullness
>
,
>
Thyroid Gland Produces .




fingernails thickening
.




of
.




Thick / brittle
>
>
Gravel Distaff / Goiter
1) Thyroxine 1-141 ,

>
tnsyltolil BP & widened DUIU pressure 2) Triiodotnyronineltz) skint hair 1015 .




*>
Thyroid 3) Tnyrocalcitonin
Myxedema
>
bruit
> :


regulated by : swelling of /kin /
>
-13+-14
Fatigue / menstrual irregularity
> '




Anterior Pituitary
LABORATORY TESTS facial swelling
'

. . .


>
-13514 affect All body systems
Blood TSH Level :(NO .4mU / L )
>


regulating metabolism
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.




Decreased w/ Grave 's Disease
-




energy production , tissue uuof
Free -14 Index : increased talents w/ disease fats .pro/-einItcarbs
>
.




>
Radioactive Iodine uptake IRAIU) :
distinguishes Grave 's
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LABORATORY TESTS . . .




disease from other forms of thyroiditis .
>
Blood Thyroid stimulating
-

Hormone 11TH ) :
'

NURSING CARE . . .
'


TIHTW / primary hypothyroidism
Ekofordysrnytnmias TSH WW / secondary hypothyroidism
>
monitor
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ASAP /may Anti thyroid Antibodies : autoimmune origin
>
Report tempt of 1°F or more to provider
>




bests of impending thyroid crisis) .
>
-13+-14 : Decreased
>
Nutritional Therapy : high calorie diet /4,000 -5,000cal /day -
'

NURSING CARE . . .




bfultmeaslday Monitor cardiovascular changes :dBP bradycard
>
protein → I -291kg
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,
,


Mart intake /trfiber.ca/feinet1easonedfOOds dysrhytnmias chest pain , peripheral edema
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,

>
minimize clients energy expenditure Anti embolism stockings + elevation
> -




-

COMPLICATIONS . . .
>
DO NOT use electric blankets
>
Thyrotoxic crisis :
life-threatening condition .
-

COMPLICATIONS . . .




*>
'

severe tachycardia , heart failure , shock , Myxedema coma life-threatening condition
:
,




hyperthermia / 10601=1 , agitation , seizures ,
occurs when hypothyroidism is untreated po ,



delirium + coma .
Managed or stressor affects the client .




* Maintain a patent airway is PRIORITY # '


Resp failure hypotension
.



, , hypoglycemia , com
>
Hypocalcemia :
damage to parathyroid gland causes Impaired consciousness + subnormal temps
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.




hypocalcemia t tetany Treatment → IV thyroid hormone
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.

, -

MEDICATIONS . . .
'

MEDICATIONS . . .




Thionamides :[metnimazoletpropy / thiouracil ] Thyroid Hormone Replacement Therapy
> '
:



* inhibit production of thyroid hormone # * Levothyroxine : synthetic thyroid hormone

client Education :
replacement
'

.




Take wlmeal.in divided doses at regular Nursing Action :
>
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intervals ( maintains even therapeutic effect) .
>
Fiber supplements, calcium , iron .
tantacid
>
report fever soar throat , , jaundice ,t bruins interfere w/ absorption
to provider
>
Monitor for cardiovascular compromise
>
Iodine intake Client Education :
•




monitor for manifestations of
>
>
hypothyroidism Treatment begins SLOWLY , increasing
Adrenergic :[propranolol
Blockers atenololt] 2-3 WKS
>
Beta -


, every .




metoprolol
* Treats tachycardia tpaipitationstx
>
Blood TSH is monitored
Client Education 30 -60min before breakfast
- >
: .




change positions slowly / med causes dizziness) Life-long treatment
> >



>
Take pulllblfeachdou.no/-ifyproVl-derif
>
Monitor / reports/Sof hyperthyroidism
HRW 601min .




Nursing Action :
'




Monitor BP, HRitECG
>



>
monitor for hypoglycemia
↳
( patient 's WI diabetes) nonradioactive
>
Iodine solutions :( ugois solution
-
/.gg?nYmenifiodinein101opotalIiUM
* short-term UU only # 40 days followed by surgery )
client Education :
•




>
Take iodine solution 1hr after thyroid meds
pregnant
>
DONOTUU While

juice iuseltrawtoavoid staining
>
Mix w/

teeth