REVISED ANSWERS ALL
CORRECT
What are some concerns with a thyroidectomy? - Answer---Partial can cause thyroid
storm (anything manipulating thyroid can including trauma)
--Can cause low Ca+
What is hyperthyroidism? - Answer-Excessive production of thyroid hormones (T3 & T4)
Speeds everything up & raises temperature
What are the causes of hyperthyroidism? - Answer-● Too much iodine
● Grave's Disease (autoimmune condition where body produces TSI - Thyroid
Stimulating Immunoglobulin. which acts like TSH)
● Tone Nodular Goiter (nodular growths produce excessive thyroid hormones)
● Excessive thyroid hormones
Thyroid replacement medications
What is a life threatening complication of hyperthyroidism? - Answer-Thyroid Storm
What are some s/s of hyperthyroidism? - Answer-● Weight loss
● Heat intolerance
● Goiter (common in Grave's)
● Restless/Irritable
● Fast heart rate
● Diarrhea
● Unable to focus mentally
● Oily skin
● Nervousness
--Menstrual problems
--Exophthalmos
--Jaundice
What are the medical treatments for hyperthyroidism? - Answer-● Antithyroid meds:
----methimazole (Tapazole)
----PTU (Propylthiouracil)
----Iodine solution (Lugol's solution)
● Beta blockers
----propranolol (Inderal) (helps with the signs and symptoms)
● Radioactive iodine therapy
● Thyroidectomy
, Avoid stalactites and food supplements with iodine (increased thyroid hormone)
What is hypothyroidism? - Answer-Low production of thyroid hormones
Slows everything down & lowers temperature
What are some causes of hypothyroidism? - Answer-● Not enough iodine
● Hashimoto's Disease (autoimmune - body attacks thyroid gland)
● Antithyroid medication toxicity
Pituitary tumor (stops anterior pituitary gland from releasing TSH which causes T3 & T4
to be released)
What is a life threatening condition of hypothyroidism? - Answer-● Myxedema coma
What are some s/s of hypothyroidism? - Answer-● Weight gain
● Cold intolerance
● Possible goiter (Hashimoto's)
● Extremely tired and fatigued
● Slow HR
● Constipation
● Memory loss
● Myxedema swelling (eyes, face, waxy appearance)
● Dry skin
● Depression
● Menstrual problems
---Low Ca+
---Lowered immunity
What are some treatments for hypothyroidism? - Answer-Treatments:
● Thyroid hormone replacement:
----levothyroxine (Synthroid)
****Avoid sedatives/narcotics: very sensitive to them and increased risk of Myxedema
Coma
What are some foods rich in Vitamin K? - Answer-● Broccoli, Cauliflower, Spinach,
Kale, Brussel Sprouts, Cabbage, Liver
What is Virchow's Triad, what does it evaluate, and what are the components of the
triad? - Answer-Assesses a patient's risk of developing a DVT
SHE
---Stasis of blood
---Hypercoagulable state
---Endothelial damage
INR Times - Answer-▪ 0.9-1.2 (normal)
▪ 2.0-3.0 (if on anticoagulation meds)