Oral medication for hypothyroidism
Levothyroxine (Synthroid)
Abnormal enlargement of the thyroid gland
Goiter
Excessive thyroid hormone
Hyperthyroidism
The thyroid gland is part of what body system?
Endocrine
Grave's Disease
Hyper
This is taken up by the thyroid gland. It shrinks the thyroid and destroys thyroid cells.
Radioactive Iodine
Bulging eye condition
Exophthalmos
T3 & T4 low, TSH high
Hypothyroid
What three labs are checked to assess for thyroid disorders?
T3, T4, TSH
Nervous, weak, palpitations, weight loss, heat intolerance, tachycardia
Hyper
Methimazole (Tapazole) is one of the medications that is used to treat this disease.
Graves Disease (hyperthyroidism)
A life threatening event that occurs with uncontrolled hyperthyroidism and is characterized with high fever, sweating, confusion, possible seizure or coma.
Thyroid Storm
I'm a 40 yr old woman who needs to sleep a lot, be covered with a warm blanket and have weight gain :(
What do I have?
Hypothyroidism
Name 3 diagnostic studies that can be performed to check for thyroid disorders.
Thyroid scan that uses (RAI) Radioactive Iodine, ultrasound (for size, masses, nodules), ECG (for dysrhythmias)
Sluggish, cold intolerance, dry skin, puffy face, weight gain, constipation, brittle nails
Hypo
Levothyroxine should be taken when?
In the morning, 2 hr before or after a meal.
Hypothyroid crisis where the patient has an unusually large tongue, pale/dry skin, confusion, thinning hair, bradycardia, hypotension, and hypothermia
Myxedema Coma
I no longer have a thyroid, I can stop taking Levothyroxine when I feel better.
True or False
False, this is a life time medication.
A client is status post thyroidectomy which complication should the nurse be aware of that is an emergency?
Airway obstruction
Hashimoto's Disease
Hypo
Name two foods that interfere with absorption of levothyroxine.
Grapefruit and soy
Auto immune disease that is very common with hypothyroidism.
Hashimoto's disease
I can't close my eyes completely, I have photophobia and being outside in the heat all day makes me feel so sick.
What do I have?
Hyperthyroidism
Name precautions to take after receiving Radioactive Iodine therapy (RAI)
flush toilet x2 with lid down, avoid contact with other people, keep dishes and clothes separate from others, wash clothes immediately after removal, avoid pregnant women, do not breast feed or become pregnant for 6 months.
Women are more prone to this type of thyroid disease than men.
Both hyper and hypo.