What is hypopituitarism disease?
Addisons
Diabetes insipidus
What is pheochromocytoma?
A tumor that secretes epinephrine and norepinephrine
Signs of hyperthryoidism?
Weight loss
Weakness
Insomnia
Agitation
Tachycardia
Palpitation
Diarrhea
Polydipsia
Polyuria
Exophthalmos
Goiter
When can a thyroid storm happen?
When the thyroid is being manipulated
During thyroid removal
Overdose of Levo
DKA
CHF
What do you want to monitor post op after having thyroidectomy?
Hoarseness or stridor
Suture line pressure
Hypocalcemia and tetany
Thyroid storm
What is the surgical treatment for hyperpituitarism?
Hypophysectomy
Signs of Pheochromocytoma?
Severe hypertension
Diaphoresis
Headache
Palpitations
Nausea
Weakness
pallor
Treatment for hyperthyroidism?
Methimazole
Propylthiouracil
Radioactive iodine
Thyroidectomy
What are the signs of thyroid storm?
Hyperthermia
Tachycardia (above 200)
Restlessness
Delirium
Coma
Heart failure
What are the signs of hypothyroidism?
Myxedema
Weight gain
Facial swelling
Under eye bagginess
Slow moving
Cold intolerance
What are the complications of hypophysectomy?
Bleeding
Increased ICP
What is the treatment for Pheochromocytoma?
Surgery
Patient education with hyperthyroidism?
Take antithyroid drugs on a strict schedule
Bodily fluids can be radioactive after ablation therapy for a short time
Need physical and mental rest
Signs of hypothyroidism
Calm environment
Treatment of thyroid storm?
Reduce temperature
Cardiac drugs to slow heart
Sedative to reduce anxiety
Treatment of hypothyroidism?
Levo
What do you monitor for post op care after a patient had Hypophysectomy?
Monitor Neuro changes
Assess for post nasal drip
Elevate HOB
Assess Nasal drainage
Assess for meningitis
Numbness in the area of the incision
What do you want to teach your patient who has a pheochromocytoma?
Do not palpate tumor
Diet for hyperthyroidism?
Avoid iodine rich foods
What is the goal during thyroid storm?
Decrease Heart rate and temperature
Nursing interventions for hypothyroidism?
Skin care
Extra warming
Avoid rushing patients
Patient education about medication
What do you want to educate your patient on what not to do after hypophysectomy?
Avoid cough
Avoid bending
Avoid straining at stool
Avoid tooth brushing
May need hormone replacement
What do you want to monitor with a patient who has pheochromocytoma?
Hypertensive crisis
What is the tell-tale sign of hyperthyroidism?
Sleeping heart rate above 80 bpm
What are the post-op complications of a thyroidectomy?
Hemorrhage
Respiratory distress
Hypocalcemia and tetany
Laryngeal nerve damage
Thyroid storm
Eye/vision problems
Signs of Myxexema coma?
Loss of consciousness
Hypotension
Hypothermia
Bradycardia
Hyponatremia
Hypoglycemia