NURS 623 MARYVILLE EXAM 2

Four stages of gout (1) Asx hyperuricemia (2) Acute gouty arthritis (3) Intercritical gout (4) Chronic tophaceous gout • • antithyroid therapy propylthiouracil & methimazole - therapy used to prep pt for RAI therapy or sgx; not a mono therapy - may take 2-8 wks to see response - safe to use in pregnancy - need baseline LFTs & CBC; recheck frequently during therapy • Medicationsthat may cause hypothyroidism amiodarone dopamine lithium interferon thalidomide stavudine • Hasthimotosthyroiditis most common cause of hypothyroidism; autoimmune • Secondary cause of hypothyroidism pituitary produces too much TSH; throid no longer thinks it needs to produce hormones -- T3 & T4 go down • Tertiary cause of hypothyroidism hypothalamus doesn'tsecrete TRH (thyroid releasing hormone); TSH doesn't know how NURS 623 much to secrete