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Hypothyroidism PATIENT NAME ________________________________SOC ______________ INITIAL anatomy and physiology of the thyroid gland. ______ ______ A. The thyroid gland is located beside the windpipe and just below the voice box. ______ ______ B. The thyroid gland secretes hormones that control the rate of metabolism. ______ ______ C. The primary hormone produced is thyroxine. Define hypothyroidism. ______ ______ A. Hypothyroidism is a disease resulting from a deficiency of thyroid hormones. ______ ______ B. Hypothyroidism can affect infants, children, and adults. Possible causes of hypothyroidism. ______ ______ A. Congenital deficiency. ______ ______ B. Tumors. ______ ______ C. Inflammation of the thyroid. ______ ______ D. Hypothalmic or pituitary disease. ______ ______ E. Surgical removal of thyroid. ______ ______ F. Iodine deficiency. ______ ______ G. Radioactive iodine treatment. Signs and symptoms. ______ ______ A. Adults: ______ ______ 1. Lethargy and fatigue. ______ ______ 2. Forgetfulness. ______ ______ 3. Weight gain. ______ ______ 4. Dry, scaly skin. ______ ______ 5. Puffy face, swollen around the eyes. ______ ______ 6. Thinning and loss of hair. ______ ______ 7. Constipation. ______ ______ 8. Irregular menstrual periods or heavy flow. ______ ______ 9. Increased sensitivity to cold. ______ ______ 10. Hypersensitivity to drugs such as barbiturates and sedatives and to anesthesia. Measures for management of the disease. ______ ______ A. Exercise regularly with planned rest periods. ______ ______ B. Set realistic goals to increase activity as tolerated. 1 Hypothyroidism PATIENT NAME ________________________________SOC ______________ ______ ______ C. Eat diet low in sodium, cholesterol, fat, and calories. ______ ______ D. Avoid constipation with diet high in fiber, adequate fluids, stool softeners, etc. ______ ______ E. Take thyroid medication as instructed at the same time each day. (Note: Thyroid medication and lab testing must be taken lifelong.) ______ ______ F. Obtain permission from physician for over-the-counter medication. (Sedatives or hypnotics can cause respiratory depression.) ______ ______ G. Keep follow-up appointments with physician. ______ ______ H. Provide a warm environment to promote comfort. ______ ______ I. Avoid pressure or irritation to the skin to prevent skin breakdown. ______ ______ J. Avoid excess stress, which increases metabolic rate. ______ ______ K. Use Medic Alert bracelet or card. Signs and symptoms to report to physician. ______ ______ A. Signs/symptoms of hyperthyroidism such as weight loss, restlessness, fast heart rate, fatigue, loose bowel movements, or heat intolerance (hyperthyroidism can be caused by hormone therapy). ______ ______ B. Signs/symptoms of hypothyroidism (puffy, masklike face, swelling around the eyes). ______ ______ C. Signs/symptoms of respiratory infections (fever, cough, cold symptoms). ______ ______ D. Signs/symptoms of urinary infections (burning, frequency, urgency). Signs and symptoms of possible complications. ______ ______ A. Heart disease. ______ ______ B. Organic psychosis. ______ ______ C. Myxedema coma. ______ ______ D. Intestinal obstruction. ______ ______ E. Anemia. ______ ______ F. Heart failure. 2