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NURSING MISC EXAM 4 STUDY GUIDE LATEST 2021 DOWNLOAD TO SCORE A

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NURSING MISC EXAM 4 STUDY GUIDE Page 1264 – 1270 Hyperthyroidism - Excessive thyroid hormone secretion from the thyroid gland - Symptoms of hyperthyroidism = thyrotoxicosis - Thyroid hormones increase metabolism ...

NURSING MISC EXAM 4 STUDY GUIDE Page 1264 – 1270 Hyperthyroidism - Excessive thyroid hormone secretion from the thyroid gland - Symptoms of hyperthyroidism = thyrotoxicosis - Thyroid hormones increase metabolism in all body organs – this could cause hypermetabolism, & sympathetic nervous system activity - Thyroid Gland – releases T3 & T4: needs iodide to make T3 & T4 T3 – T4:  controls metabolic rate: protein, carbohydrate, and fat  respiratory  cardiac rate  Glucose tolerance  Libido Risk Factors: causes - Grave’s Disease: autoimmune disorder resulting from Hashimoto’s thyroiditis (HT) – antibodies attach to TSH receptors on the thyroid gland, which  the number of glandular cells =  the gland = forming GOITOR (Enlargement of thyroid gland, can happen with hyper & hypothyroidism) &over production of thyroid hormones = thyrotoxicosis o Women from 20 – 40 yrs. o S/S – general symptoms of hyperthyroidism and …  Exophthalmos (abnormal protrusion of eye, shocked look)  Pretibial myxedema – dry, waxy swelling of the front surfaces of the lower legs – looks like tumors or keloids - Toxic multinodular goiter – large thyroid tissues or benign tumors o Usually after 50 yrs. Affects women 4x more than men o Pt usually have had goiter for years  S/S- milder than graves, no exophthalmos or pretibial myxedema - Excessive use of thyroid replacement hormones – exogenous hyperthyroidism Assessment: T3 T4 =  cardiac, metabolism, glucose & respiratory - History – gather age, gender, usually weight – unplanned weight loss,  appetite - HEAT intolerance – increased sweating even when temps. Are comfortable - Cardio – ask for breathing changes – dyspnea at rest or on exertion is common - Vision – blurred vision, eyelid retraction/ lag – ask pt to look down and up - Observe size & symmetry of thyroid gland - Psychosocial – mood swings, irritable,  attention span, manic behavior o Hyperactivity = fatigue – can’t sleep well o Cries or laughs with no reason

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