Med SURG 2 Final HESI review 2020 Yale University

• Hypothyroid- high TSH (trying to stimulate thyroid to work), low T3 and T4 o Everything slows down (bowel movements), hair falls out, dry skin, fat, fatigue, Puffy face o Give synthroid in morning before meals (at same time) o Myxedema (opposite of thyroid storm) – decrease mental status, hypothermia, slowing of organ function o After a thyroidectomy, a client is at risk for developing hypocalcemia.  Trousseau sign (carpal spasm w BP cuff)