68WM6 Phs 2 Test 13
68WM6 Phase 2 test 13 Endocrine
System
Question Answer
what hormones do the
thyroid pump out?
T3 & T4 Requires good
IODINE intake
what does the Thyroid do?
regulates growth,
metabolism, deve
...
68WM6 Phs 2 Test 13
68WM6 Phase 2 test 13 Endocrine
System
Question Answer
what hormones do the
thyroid pump out?
T3 & T4 Requires good
IODINE intake
what does the Thyroid do?
regulates growth,
metabolism, development,
and activity of the nervous
system
hyperthyroidism a.k.a. Grave's Disease
exophthalmos bulgling eyes
what are some subjective
things you will look for r/t
hyperthyroidism?
memory loss,
dysphagia/hoarse voice,
weight loss, jittery,
insomnia, may overreact to
stress
objective things to look for
r/t hyperthyroidism
tachycardia, HTN, edema of
anterior neck, exophthalmos,
hyperthermia, warm skin,
hand tremors, cessation of
menses,
how would
hyperthyroidism be
diagnosed?
increased T3 & T4,
radioactive iodine uptake
test(RAIU), thyroid scan
what are two drugs that can
be given to block the
production of t3 and t4?
Propylthiouracil - PropylThoracil, PTU Methimazole
– Tapazole
what does ablation therapy? destroy Hypertrophied tissue
what are side effects for
ablation therapy?
Abdominal pain, n/v,
diarrhea, sore throat, neck
pain and edema, chronic
hypothyroidism
side effects for medication
therapy r/t hyperthyroidism
rash / pruritis, N/V, abd pain,
loss of taste
what are some things you
would teach your pt pre-opt
r/t hyperthyroidism
Teach deep breathing
techniques, need for voice
rest, possible complications,
keep environment calm/cool,
instruct how to support head
when turning in bed and
rising
post-op teaching r/t
hyperthyroidism
semi-fowler's position, avoid
hyperextension of head, cool
mist humidification, VS q4
hrs, assess swallow reflexes
prior to liquids
what would you assess for
post op r/t hyperthyroidism
bleeding, tachycardia,
hypotension, apprehension,
restlessness
what are s/s of tetany
Numbness or tingling
Carpopedal spasm
Tachycardia, tachypnea,
hypertension Laryngeal
spasm Positive Chvostek’s
Sign Positive Trousseau’s
Sign
what is tx for tetany IV calcium gluconate
a thyroid strom appears
usually within ___ hrs of
surgery
12
s/s of thyroid storm
Exaggerated
hyperthyroidism Severe
hypertension, tachycardia
Hyperthermia up to 106F
Cardiac dysrhythmias, heart
failure
what are tx's for thyroid
storm?
IV fluids Sodium iodide and
Corticosteroids Antipyretics
and oxygen as needed
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