SIADH
most common cause
Cancer, especially small cell lung CA
3 types
Central DI
Nephrogenic DI
Primary DI
type of goiters
toxic nodular goiters
drugs that cause it
amiodarone, lithium
interventions to help with SIADH patient
frequent oral care and distractions to decrease discomfort related to thirst from fluid restriction
nurse monitors
low urine output; sudden weight gain w no edema, decreased Na, watch for signs of hyponatremia
urine output
large quantities- 2-20 L/day
most common form
Grave's disease
S&S
lethargic, personality changes, slowed speech, weight gain, decreased cardiac output, SOB on exertion, anemia
problems older adults face related to endocrine system
misdiagnosis
Increased Ca resorption; decreased hormone production and secretion; changes in circadian rhythm
mild SIADH fluid restriction
-800-1000 ml/day
therapeutic goal
maintain fluid and electrolyte imbalance
TSH and T4 labs
low TSH, increased T4
TSH and T4 labs
increased TSH
decreased T4
what nursing interventions are appropriate when administering iodine for a patient with hyperthyroidism
mix with water or juice and give after meals.
sip through a straw to decrease the chances of staining the teeth
Chronic SIADH aids to help decrease thirst
ice chips or sugarless gum
diagnostic test for Central and Nephrogenic DI
Water deprivation test
complication
thyrotoxicosis, thyroid storm
complication
myxedema coma
What signs and symptoms should be taught to a patient with Hashimotos thyroiditis
Nurse needs to monitor
fluid and electrolyte imbalance (sodium and potassium)
treatment for Nephrogenic DI
low Na diet - no more than3g/day
what condition may occur after Radioactive Iodine therapy treatment for hyperthyroidism
hypothyroidism
amount of time for drug therapy to work
may take up to 8 weeks
thyroidectomy post op patient teaching
lifelong hormone therapy
avoid high environmental temps
use iodized salt or seafood 1x/week
low calorie diet