Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Thyroid Disorders NUR 171 Disorders of Thyroid Gland Fig. 50-5. Continuum of thyroid dysfunction. Hyperthyroidism Nursing and Collaborative Care Hyperthyroidism Collaborative Care Radioactive iodine therapy Anti-thyroid drugs Iodine Β-adrenergic blockers Surgical therapy Nutritional therapy Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. Collaborative Care Radioactive Treatment of choice in non- pregnant adults Damages or destroys thyroid tissue Delayed response iodine therapy (RAI) 2 to 3 months Treated with anti-thyroid drugs and Inderal before and during first 3 months of AI Collaborative Care PTU: propylthiouracil, methimazole Collaborative Care Subtotal thyroidectomy Indications Unresponsive to drug therapy Large goiters causing tracheal compression Possible malignancy Individual not a good candidate for RAI Hypothyroid Types & Symptoms Myxedema: Complication of Hypothyrodism Collaborative Care Levothyroxine (Synthroid) Liothyronine (Cytomel) Synthetic thyroid hormone T4 Synthetic thyroid hormone T3 Must take regularly Monitor for angina and cardiac dysrhythmias. Monitor thyroid hormone levels, and adjust as needed Liotrix (Thyrolar) A patient has been taking levothyroxine for 6 months. After this month’s laboratory work, the nurse practitioner tells the nurse that the patient is “euthyroid.” What does that term mean? A. The patient is experiencing hyperthyroidism. B. The patient is experiencing hypothyroidism. C. The patient’s thyroid hormone levels are within normal limits. D. The patient’s thyroid hormone levels are still fluctuating. 11 A patient who is taking a thyroid replacement medication tells the nurse that she is starting to experience cold intolerance, depression, constipation, and dry skin. The nurse anticipates that these manifestations are caused by A. B. C. D. inadequate doses of the medication. possible overdose of the medication. worsening of the underlying disease. drug interactions with another medication. 12 Which information will the nurse include when teaching a patient about thyroid replacement therapy? A. “Take the medication before bed.” B. “You will experience beneficial effects of the drug after one week of treatment.” C. “Stop taking the drug if you experience insomnia.” D. “Take the medication on an empty stomach.” 13 Which would be the best menu choice for a patient who is taking an antithyroid medication? A. B. C. D. A seafood platter Sushi Tofu burger Pasta with marinara sauce 14