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Hypothyroidism nursing actions for respiratory – 3 Hypothyroidism Nursing Care Plans

Limit unnecessary activities. B Pick up and hold a rattle.

William Thompson
Saturday, August 17, 2019
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  • Besidesan imbalance in the levels of iodine in the blood is yet another cause for the occurrence of the condition.

  • Choose the letter of the correct answer. The patient begins to experience clinical benefits in 3 to 5 days, which level off after approximately 4 to 6 weeks.

  • The objective of medical management is to restore the normal metabolic state of the body by adequately replacing a missing hormone.

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A: How will you assess the patient?

Angina or cardiac arrhythmia. Rationale: Provides more direct measure of circulating volume and cardiac function. Tell us how we can improve this post? Rationale: Antithyroid medications can affect or be affected by numerous other medications, requiring monitoring of medication levels, side effects, and interactions.

  • The preferred medication for treating hypothyroidism is:.

  • D Calcitonin works on cellular function while parathormone works on neuromuscular function. Assess pulse and heart rate while patient is sleeping.

  • Email Phone Best time to call:.

  • A medications to manage tachycardia and prevent thyroid storm…propranolol is typically the drug used for this. Assess the client for constipation; provide roughage and fluids to prevent constipation.

  • Encourage patient to eat and increase number of meals and snacks.

Endocrine system; - Hypothyroidism; - Thyroid disorders. Read this article via your institutional log in or pair token. Tags Type your tag names separated by a space and hit enter. Email Phone Best time to call:.

  • Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Forgot Your Username?

  • This patient will be in intensive care as the condition is very serious and can be fatal. It often occurs in coordination with other endocrine disorders such as diabetes mellitus, hyperparathyroidism and thyroiditis.

  • An elevated systolic blood pressure. If a woman is suffering from hypothyroidism then the egg may be released less frequently or not at all.

  • Instruct the client in low-calorie, low-cholesterol, low-saturated-fate diet. Choose the letter of the correct answer.

  • Question 6 Explanation:.

Decreased appetite with weight gain; selection of high-calorie, high-sodium foods; sedentary lifestyle; caloric intake greater than metabolic needs; constipation; decreased activity. No votes so far! Patient Preparation There are no food, fluid, activity, or medication restrictions unless by medical direction. Accurately assess appetite and measure caloric intake over a hr period. Potential Nursing Problems Assessment and Nursing Diagnosis Problems Signs and Symptoms Thought processes altered related to decreased cardiac output and impaired cerebral perfusion secondary to a deficit of thyroid hormone Altered memory, mental impairment, decreased concentration, depression, inaccurate environmental perception, inappropriate thinking, memory deficits Cardiac output decreased related to a deficit of thyroid hormone Bradycardia, lethargy, hypotension, decreased thyroid hormone levels, fatigue, activity intolerance, poor peripheral perfusion, cool skin, shortness of breath Nutrition excess related to slow metabolism Decreased appetite with weight gain; selection of high-calorie, high-sodium foods; sedentary lifestyle; caloric intake greater than metabolic needs; constipation; decreased activity. Recommend to your librarian. Thyroid-Stimulating Hormone.

Temperature of It is important for patients suffering from the condition to engage in weight reduction activities. Treatment Considerations Thought Process altered : Minimize apprehension and dread. Nursing Central is an award-winning, complete mobile solution for nurses and students.

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Discuss how eating a diet high nursign protein and low in calories to promote weight loss. A pulse rate lower than 95 bpm but greater than hypothyroidism nursing actions for respiratory bpm. Withhold exogenous iodine to create a negative feedback response, which will force the gland to secrete hormones. In this part of nursing care, an assessment is done of the thyroid from a posterior or anterior position. Decreased In: An increase in thyroid hormone levels activates the feedback loop to decrease production of TSH.

Monitor CBC periodically. Rationale: Indicates need for reduction or discontinuation of therapy. Administer iodine preparations that inhibit the release of thyroid hormone as prescribed. Which change in vital signs would you instruct a nursing assistant to report immediately for a patient with hyperthyroidism?

Buy actions for. The sample nursing care plan for hypothyroidism must have a nursing assessment, diagnosis, proper planning, and goals, it must have nursing interventions, evaluation, discharge guidelines if the patient has been discharged from the hospital or medical clinics, home care guidelines. The clinical condition that results from the abnormally low secretion of the thyroxin hormone is referred to as hypothyroidism. A manifestation not consistent with her diagnosis is a:. Download the Nursing Central app by Unbound Medicine.

Please contact me in response to this feedback. Enter your username actiona and we'll send you an email explaining how to change your hypothyroidism nursing actions for respiratory. It is important for patients suffering from the condition to engage in weight reduction activities. Weight gain. Pulse rate of 58 bpm. Simultaneously the nurses attending patients suffering from the condition required to make sure that the patients do not suffer from cardiac dysfunction. Based on the assessment data, the nursing diagnoses appropriate for a patient with hypothyroidism are:.

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Once you are finished, click the button below. Question 1. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. Question 6 Explanation:. Desired Outcomes Maintain adequate cardiac output for tissue needs as evidenced by stable vital signs, palpable peripheral pulses, good capillary refill, usual mentation, and absence of dysrhythmias.

Muscular fatigability. Question 4. Question 6 On discharge, the nurse teaches the patient to observe for signs of surgically induced hypothyroidism. Normal value excludes primary hypothyroidism and a markedly elevated value confirms the diagnosis. Question 24 A 3-month-old client is in the pediatric unit.

Though fluid volume status, neurological status and pain are all important assessment, the immediate priority for postoperative nusring for respiratory airway management. Decrease systolic blood pressure. A 38 year old woman returns from a subtotal thryroidectomy for the treatment of hyperthyroidism. A manifestation not consistent with her diagnosis is a:. Stay with patient, maintaining calm manner. Question 5 A nurse understands calcitonin and parathormone when the nurse states: Choose all that applies A They work separately on calcium balance.

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Purchase a subscription. The thyroid gland within our body is responsible for secreting the thyroxin hormone. Clients with hypothyroidism have decreased appetite. Change in her menstrual pattern.

Provide information hypothyroidism nursing actions for respiratory signs and symptoms of hypothyroidism and the need for continuing follow-up care. If you hyoothyroidism this page, your progress will be lost. Avoid the administration of stimulants. Rationale: Severity of condition, cause, age, and concurrent complications determine course of treatment. Describe and explain procedures, surrounding environment, or sounds that may be heard by patient. Desired Outcomes Maintain usual reality orientation. Obtain weight daily.

Be the first to rate this post. An elevated systolic blood pressure. Vote count: We use cookies on this site to enhance your user experience. In a pregnant womanthe condition of hypothyroidism can interfere with the development of the fertilized egg or embryo. Replace the missing hormone.

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They should avoid head-down positions that can place extra pressure on the eyes. The thyroid gland within our body is responsible for secreting the thyroxin hormone. Question 14 Explanation:. Irritants and stimulants should be limited to avoid cumulative systemic effects. Explain the side effects of propylthiouracil PTU to the patient.

Rationale: Aids in keeping caloric intake high enough to keep up with actilns expenditure of calories caused by hypermetabolic state. What could be Michael's problem? In a pregnant womanthe condition of hypothyroidism can interfere with the development of the fertilized egg or embryo. Increased thirst and increased urination are signs of lithium toxicity. Provide for diversional activities that are calming, e. Nursing care for a patient with hypothyroidism includes assessing for clinical manifestations associated with hypothyroidism. Weight gain.

  • Based on the nursing assessmentnursing diagnosis for a patient suffering from hypothyroidism is initiated. Tags Type your tag names separated by a space and hit enter.

  • Rationale: May decrease nervous energy, promoting relaxation.

  • The primary objective in the management of hypothyroidism is to restore a normal metabolic state by replacing the missing hormone. Encourage the client to follow a low- cholesterollow-calorie, low-saturated-fat diet.

He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. In this type of hypohyroidismthe oxygen saturation levels are monitored, fluids are administered to the respiratory flr, oral thyroid hormone therapy is continued, application of outside heat is avoided. Hypothyroidism is a condition classified by an under-active thyroid gland- when the thyroid does not produce enough hormones. Enter your username below and we'll send you an email explaining how to change your password. Problems Signs and Symptoms Thought processes altered related to decreased cardiac output and impaired cerebral perfusion secondary to a deficit of thyroid hormone Altered memory, mental impairment, decreased concentration, depression, inaccurate environmental perception, inappropriate thinking, memory deficits Cardiac output decreased related to a deficit of thyroid hormone Bradycardia, lethargy, hypotension, decreased thyroid hormone levels, fatigue, activity intolerance, poor peripheral perfusion, cool skin, shortness of breath Nutrition excess related to slow metabolism Decreased appetite with weight gain; selection of high-calorie, high-sodium foods; sedentary lifestyle; caloric intake greater than metabolic needs; constipation; decreased activity. Davis Company.

Rationale: Significant fluid losses through vomiting, diarrhea, diuresis, and diaphoresis can lead to profound dehydration, concentrated urine, and weight loss. Decreased hypothyroidism nursing actions for respiratory and decreased alertness are common in the client with hypothyroidism; therefore, the use of electric blankets and heating pads can result in burns, Question 19 A 58 year old woman has newly diagnosed with hypothyroidism. Question 1. On discharge, the nurse teaches the patient to observe for signs of surgically induced hypothyroidism.

L: How will the patient LOOK?

Patient Preparation There are no food, fluid, activity, or medication restrictions unless by medical direction. Treatment Considerations Thought Process altered : Minimize apprehension and dread. Use pulse oximetry to monitor oxygen saturation. Assess cardiac status indicators: peripheral pulses; skin color; skin temperature; dry, scaly skin; and periorbital edema. The primary objective in the management of hypothyroidism is to restore a normal metabolic state by replacing the missing hormone.

Reduce external stimuli: Place in quiet room; provide soft, soothing music; reduce bright lights; reduce number of persons contacting patient. Your answers are highlighted below. Feelings of nervousness, may have a noticeable tremor Weight loss, with or without an increased appetite Heat intolerance and excessive sweating Fine or thinning hair; possibly premature graying Thin fingernails though some sources say thick, ridged and brittle nails Heart palpitations, tachycardia Diarrhea, nausea, vomiting Trouble concentrating, mood swings Menstrual irregularity Shortness of breath with exertion Difficulty climbing stairs Opthalmolgic abnormalities called Graves ophthalmopathy. Precipitation of angina or cardiac arrhythmia is a potentially serious complication of hypothyroidism treatment. On discharge, the nurse teaches the patient to observe for signs of surgically induced hypothyroidism. If a woman is suffering from hypothyroidism then the egg may be released less frequently or not at all. Hold the head up.

Davis Company, Let us improve this post! Recommend to your librarian. These causes include inflammation of the thyroid glandspresence of autoimmune diseases like autoimmune thyroiditis, atrophy of the thyroid gland caused due to aging, therapies like thyroidectomy can cause the condition, medications containing lithium, and iodine compounds or antithyroid medications can cause the condition to appear. Please contact me in response to this feedback. For a pregnant woman suffering from hypothyroidism and who is not treated adequately for the condition may result in the premature birth of a baby. It occurs primarily in women in 30 to 60 years old.

Pick up and hold a rattle. Temperature of Hoarse voice. C myxedema coma.

As an outpatient department nurse, she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses. They should avoid head-down positions that can place extra pressure on the eyes. Serum Iodine. Rationale: Increased irritability of the CNS may cause patient to be easily excited, agitated, and prone to emotional outbursts.

Normal Findings Method: Immunoassay. In a pregnant womanthe condition of hypothyroidism can interfere with the development of the fertilized egg or embryo. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. Potential Nursing Problems Assessment and Nursing Diagnosis Problems Signs and Symptoms Thought processes altered related to decreased cardiac output and impaired cerebral perfusion secondary to a deficit of thyroid hormone Altered memory, mental impairment, decreased concentration, depression, inaccurate environmental perception, inappropriate thinking, memory deficits Cardiac output decreased related to a deficit of thyroid hormone Bradycardia, lethargy, hypotension, decreased thyroid hormone levels, fatigue, activity intolerance, poor peripheral perfusion, cool skin, shortness of breath Nutrition excess related to slow metabolism Decreased appetite with weight gain; selection of high-calorie, high-sodium foods; sedentary lifestyle; caloric intake greater than metabolic needs; constipation; decreased activity. Due to a decrease in energy levels, the client will need support to ensure the adequate intake of essential nutrients.

Actions for to excess fluid volume and low basal metabolic rate, clients with hypothyroidism experience weight gain and difficulty losing extra weight. Thereforewomen thinking of getting pregnant need to do regular medical checkups, have their thyroxin levels in the blood checked from time to time, receive proper treatments in case of an anomaly in the levels of thyroxin in the blood. Desiccared Thyroid Armour, etc. Rationale: May be hypervigilant, restless, extremely sensitive, or crying or may develop frank psychosis.

They work together for blood clotting. In discussing the condition and treatment with the family, the nurse should emphasize. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Appearance can be enhanced with proper use of makeup, overall grooming, and use of shaded glasses.

Forgot Your Username? Change in her menstrual pattern. This opposite relationship for respiratory weight gain and decreased appetite is a manifestation finding in hypothyroidism. Potential Nursing Problems Assessment and Nursing Diagnosis Problems Signs and Symptoms Thought processes altered related to decreased cardiac output and impaired cerebral perfusion secondary to a deficit of thyroid hormone Altered memory, mental impairment, decreased concentration, depression, inaccurate environmental perception, inappropriate thinking, memory deficits Cardiac output decreased related to a deficit of thyroid hormone Bradycardia, lethargy, hypotension, decreased thyroid hormone levels, fatigue, activity intolerance, poor peripheral perfusion, cool skin, shortness of breath Nutrition excess related to slow metabolism Decreased appetite with weight gain; selection of high-calorie, high-sodium foods; sedentary lifestyle; caloric intake greater than metabolic needs; constipation; decreased activity. We use cookies on this site to enhance your user experience.

Thank you in advance! The preferred medication for respiratory hypothyroidism is:. Irradiate the gland in an attempt to stimulate hormonal secretion. There are clinical manifestations of the condition that includes extreme fatigue, enhancement in weight, intolerant to the cold, occurrence of thick skin. We are sorry that this post was not useful for you! Besidesan imbalance in the levels of iodine in the blood is yet another cause for the occurrence of the condition. The clinical condition that results from the abnormally low secretion of the thyroxin hormone is referred to as hypothyroidism.

Rationale: For a given proper nutrition. Which of the following nursing diagnoses is of highest priority? A decreased TSH level. Initiate necessary lifestyle changes and participate in treatment regimen. The client complains of increased thirst and increased urination. Decrease systolic blood pressure. Assess fluid volume status.

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For a successful nursing care plan for hypothyroidism, the following objectives are required to be fulfilled:. Replace the missing hormone. To achieve a successful nursing care planthe following goals should be realized:. Marianne is also a mom of a toddler going through the terrible twos and her free time is spent on reading books!

As a writer at Nurseslabs, wctions goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession. Remove the diseased gland. Van Leeuwen, A. If a woman is suffering from hypothyroidism then the egg may be released less frequently or not at all. Download the Nursing Central app by Unbound Medicine.

C Hypermetabolism from increase in T3 and T4. You have not finished your quiz. Hypothyroidism may occur in individuals at different instances. Question 12 Explanation:.

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An elevated systolic blood pressure. The nursing team also requires to assess whether the thyroid gland is firm or tender. Besidesan imbalance in the levels of iodine in the blood is yet another cause for the occurrence of the condition.

  • This opposite relationship between weight gain and decreased appetite is a manifestation finding in hypothyroidism.

  • In severe cases, doctors usually prescribe medications such as steroids to reduce edema and diuretics. This makes it more difficult to regulate thyroid medication.

  • Simultaneously the nurses attending patients suffering from the condition required to make sure that the patients do not suffer from cardiac dysfunction.

  • Pituitary hypothyroidism. Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

Magnesium hypothyroidism signs and symptoms men. If you leave this page, actioons progress will be lost. Let us improve this post! Pharmacologic Highlights Treatment consists of replacing the deficient hormone with synthetic thyroid hormone; low doses are initially used, and the dose is increased every 1 to 2 months based on the clinical response and serial laboratory measurements that show normalization of thyroid-stimulating hormone TSH levels in primary hypothyroidism. Radioactive iodine is given as a single dose and typically only in patients who are not planning to reproduce since the radioactive iodine can collect in the gonads.

  • During the start of the thyroid hormone replacement therapy, the client can experience loss of weight.

  • Risk Factors Age over 50 years Being female Assessment Lethargy and fatigue Weakness, muscle aches, paresthesias Intolerance to cold Weight gain Dry skin and hair Loss of body hair Bradycardia Constipation Generalized puffiness and edema around the eyes and face.

  • The dietician can calculate the appropriate caloric requirements to maintain nutrient intake and achieve a stable weight. Log In.

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  • The primary objective in the management of hypothyroidism is to restore a normal metabolic state by replacing the missing hormone. Promote comprehension and understanding of current events.

  • Muscular fatigability. The need for regular monitoring and ongoing support is also highlighted.

D Hold the action up. Change in her menstrual pattern. Rationale: Provides more direct measure of circulating volume and cardiac function. Good work! Blocks thyroid hormone synthesis and inhibits peripheral conversion of T 4 to T 3. In discussing the condition and treatment with the family, the nurse should emphasize. Question 3 Explanation:.

Discuss how eating a diet high in protein and low in calories to promote weight loss. Want to read more? Pulse rate of 58 bpm. Promote comprehension and understanding of current events. Davis Company.

The types of hypothyroidism are classified according to their causes:. Organisational access. Nursing Standard.

Rationale: To detect leukopenia, thrombocytopenia, and agranulocytosis if the patient is taking propylthiouracil and methimazole. The usual course of therapy for these medications is 6 months to 2 years. Upcoming SlideShare. A client with hypothyroidism frequently complains of feeling cold.

  • Pulse rate of 58 bpm. Withhold exogenous iodine to create a negative feedback response, which will force the gland to secrete hormones.

  • Though fluid volume status, neurological status and pain are all important assessment, the immediate priority for postoperative is the airway management.

  • Thank you in advance! Encourage eating small, frequent meals to prevent overeating and enhance weight management; Encourage the consumption of high-fiber foods such as fruits and vegetables with the skins and whole-grain breads to improve gastric motility.

Possibly evidenced by Decreased appetite. The thyroid gland within our body is responsible for secreting the thyroxin hormone. Table of Contents. The objective of medical management is to restore the normal metabolic state of the body by adequately replacing a missing hormone.

Hyperthyroidism is characterized by an increased rate hypothyroidism nursing actions for respiratory respiratkry metabolism. Provide information appropriate to individual situation. Insomnia and excitability. Surgical removal of the thyroid or partial removal of the thyroid is used for patients with goiter or who have not responded to medication therapy. Assess pulse and heart rate while patient is sleeping. Monitor CBC periodically. Untreated hyperthyroidism during pregnancy may result in all of the following except:.

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As an outpatient department nurse, she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses. Antithyroid drugs Rationale: May decrease signs and symptoms or prevent worsening of the condition. Dry skin and fatigue.

Teach the patient, about the kinds of foods that contain lots of water. Complications Myxedema coma, the most severe form of hypothyroidism, is rare. Clinical manifestations are referred to as thyrotoxicosis. Rationale: Limits defensive reaction. Takes a hot bath morning and evening. Decreased sensation and decreased alertness are common in the client with hypothyroidism; therefore, the use of electric blankets and heating pads can result in burns, Question 19 A 58 year old woman has newly diagnosed with hypothyroidism. After subtotal thyroidectomy, swelling of the surgical site the tracheal area may obstruct the airway.

If loading fails, click here to try again. Rationale: Early sign of pulmonary congestion, reflecting developing cardiac failure. Also, this page requires javascript. Question 6 Explanation:. Choose the letter of the correct answer. Instruct the patient to report palpitations, dyspnea, vertigo, pr chest pain. Bowel sounds.

Change in her menstrual pattern. Patient Actions for respiratory There are no food, fluid, activity, respirqtory medication restrictions unless by medical direction. Click on a star to rate it! Sedentary activity level. In this type of therapythe oxygen saturation levels are monitored, fluids are administered to the patients carefully, oral thyroid hormone therapy is continued, application of outside heat is avoided. If severe hypothyroidism occurs in an infant, it is called cretinism.

This change may require a calorie controlled diet to prevent additional weight gain. How useful was this post? Marianne Belleza, R. Based on the assessment data, the nursing diagnoses appropriate for a patient with hypothyroidism are:.

Rationale: To indicate the likelihood of cardiac hemodynamic disturbances such as hypotension, decreased urine outputfor respiratory mental status changes. You can change your ad preferences anytime. Other complications related to hyperthyroidism include: Heart-related complications including: Rapid heart rate Congestive heart failure Atrial fibrillation Increased risk for osteoporosis, if hyperthyroidism is present for a long time Surgery-related complications, including: Scarring of the neck Hoarseness due to nerve damage to the voice box Low calcium level due to damage to the parathyroid glands located near the thyroid gland Treatments for hypothyroidism, such as radioactive iodine, surgery, and medications to replace thyroid hormones can have complications. The clinical condition that results from the abnormally low secretion of the thyroxin hormone is referred to as hypothyroidism. Periorbital edema.

Rationale: Determines extent of interference with sensory processing Note changes in behavior. Display improved ability to participate in desired activities. D Hold the head up. As the metabolic rate rises, the caloric content can be increased. What could her symptoms indicate? A decreased TSH level.

This will make sure that the client has an adequate intake of nutrients in the client with decreased energy levels. Encouraging frequent periods of rest throughout the day. Thyroid-Stimulating Hormone.

Draw blood for thyroid-stimulating hormone, T3, and T4 levels. Provide hypothermia blanket as indicated. Several classifications of drugs are affected by the addition of thyroid supplements, including beta blockers, oral anticoagulants, bronchodilators, digitalis preparations, tricyclic antidepressants, and cholesterol lowering agents. Assess fluid volume status.

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Also people preparing or administering the dose must have their own thyroid burden measured, and contaminated supplies and equipment must be monitored and stored until decayed. If severe hypothyroidism occurs in an infant, it is called cretinism. Clients with hypothyroidism have decreased appetite. Tertiary hypothyroidism is caused by failure of the hypothalamus to produce thyroid-releasing factor. Decrease systolic blood pressure.

Encourage the client to follow a low- cholesterollow-calorie, low-saturated-fat diet. If a hypothyroodism is suffering from the condition of hypothyroidism then it is important to do proper medical management on the part of the nursing team attending the patient. Radioactive Iodine's main function in therapy is to:. A medications to manage tachycardia and prevent thyroid storm…propranolol is typically the drug used for this.

The nursing team also requires to assess whether the thyroid gland is firm or tender. Tell us how we can improve this post? Thank you in advance! Ok, I Agree More Info.

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This article explains how to assess, diagnose and treat patients with an underactive thyroid gland hypothyroidismincluding an outline of replacement therapy options. In a pregnant womanthe condition of hypothyroidism can interfere with the development of the fertilized egg or embryo. Learning zone continuing professional development Previous Next Assessment and management of patients with hypothyroidism Maggie Carson Endocrine specialist nurse Edinburgh Royal Infirmary and lecturer, In nursing studies, University of Edinburgh.

  • All of the above.

  • Sedentary activity level. This rare problem is always hereditary.

  • Patient Preparation There are no food, fluid, activity, or medication restrictions unless by medical direction. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them.

  • Marianne is a staff nurse during the day and a Nurseslabs writer at night. Thyroid deficiency can affect all body functions and can range from mild, subclinical forms to advanced forms.

Question 3. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant ofr. Rationale: Protruding eyes may be viewed as unattractive. Liothyronine Cytomel. The article provides useful insight into the nursing care plan for hypothyroidism in pregnancy. Pharmacotherapy The objective of pharmacotherapy is to inhibit hormone synthesis or release and reduce the amount of thyroid tissue.

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  • There can be various causes for the occurrence of the condition: These causes include inflammation of the thyroid glandspresence of autoimmune diseases like autoimmune thyroiditis, atrophy of the thyroid gland caused due to aging, therapies like thyroidectomy can cause the condition, medications containing lithium, and iodine compounds or antithyroid medications can cause the condition to appear.

Get Results. May be given before thyroidectomy and discontinued after surgery. Avoid sedatives and narcotics because of increase sensitivity to these medications. Elevated Thyroxine T4 radioimmunoassay normal values: 5. The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. Note adventitious sounds.

Deficiency of the thyroxin hormone can adversely affect important body functions. All of the above. Home Explore Login Signup. Question 6. Rationale: Determines extent of interference with sensory processing Note changes in behavior. What lab values might the nurse expect?

A medications to manage tachycardia and prevent thyroid storm…propranolol is typically the drug used for this. Which test result would confirm the diagnosis? Treatment of the elderly patient is approached more cautiously because of higher risk for cardiac complications and toxic effects.

In this part of nursing care, an assessment is done of the thyroid from a posterior or anterior position. Patient Preparation There are no food, fluid, activity, or medication restrictions unless by medical direction. Hypothyroidism slows the action of the digestive tract causing constipation. Pulse rate of 58 bpm. Want to read more? To view other topics, please log in or purchase a subscription. Tags Type your tag names separated by a space and hit enter.

The preferred medication for treating hypothyroidism is:. Possibly evidenced by Decreased appetite. A manifestation not consistent with her diagnosis is a:. In a pregnant womanthe condition actions for respiratory hypothyroidism can interfere with the development of the fertilized egg or embryo. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. The nursing professionals require to promote rest in these patientsensure that the patients have regular fluid intakes, fiber intakes, and most importantly effective medication to counter the condition.

Full Name Comment goes here. Takes a hot bath morning and evening. Causes Hypothyroidism can be a primary disorder that results from disease in the thyroid gland itself or a secondary or tertiary disorder. Nursing Notes.

The respirqtory for regular monitoring and ongoing support is also respirwtory. Increased In: A decrease in thyroid hormone levels activates the feedback loop to increase production of TSH. Potential Nursing Problems Assessment and Nursing Diagnosis Problems Signs and Symptoms Thought processes altered related to decreased cardiac output and impaired cerebral perfusion secondary to a deficit of thyroid hormone Altered memory, mental impairment, decreased concentration, depression, inaccurate environmental perception, inappropriate thinking, memory deficits Cardiac output decreased related to a deficit of thyroid hormone Bradycardia, lethargy, hypotension, decreased thyroid hormone levels, fatigue, activity intolerance, poor peripheral perfusion, cool skin, shortness of breath Nutrition excess related to slow metabolism Decreased appetite with weight gain; selection of high-calorie, high-sodium foods; sedentary lifestyle; caloric intake greater than metabolic needs; constipation; decreased activity. Cancer patients who have undergone radiation therapy in the head or the neck are more susceptible to thyroid cancer. Replace the missing hormone. This blog illustrates in great depth the tips that the nursing-professional needs to do so that the patients suffering from the condition get the best care. Accessed July 13,

Rationale: Increased motility of GI tract may result in diarrhea and impair absorption of needed nutrients. Magnesium chloride. Rationale: Given to meet energy requirements and prevent or correct hypoglycemia. Weight gain. In this part of nursing care, an assessment is done of the thyroid from a posterior or anterior position. Because significant cardiovascular disease often accompanies hypothyroidism, the patient is at risk for cardiac complications if the metabolic rate is increased too quickly.

Question 9. I hope this review of hyperthyroidism and the key differences between it and hypothyroidism helps! Question hypothyroidism nursing actions for respiratory Explanation:. The nurse is aware that the signs and symptoms of hypothyroidism include: A Diarrhea B Vomiting C Tachycardia D Weight gain Question 19 Explanation: Typical signs of hypothyroidism includes weight gain, fatigue, decreased energy, apathy, brittle nails, dry skin, cold intolerance, constipation and numbness.

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