Hyperthyroidism
What is a major cause of cardiac tamponade?
Pericarditis
Ventricular wall rupture from acute MI
Cancer
Aortic dissections
Complication from invasive cardiac
When can thyroid storm happen?
When thyroid is being manipulated
During thyroid removal
Overdose of levo
DKA
CHF
What are the causes of Myxedema coma?
Abrupt withdrawal of thyroid therapy
Acute illness
Anesthesia
Use of sedative/narcotics
Hypothermia
When can Addison's crisis happen?
When patient stop taking their steriods
Signs of DI?
Polyuria
Polydipsia
Weakness
Fatigue
What are the causes of Hyperthyroidism?
Medications with iodine
Smoking
Infections
Autoimmune diseases- graves
What are the signs of thyroid storm?
Hyperthermia
Tachycardia
Restlessness
Delirium
Coma
Heart Failure
Extreme elevations of metabolic process
What are the signs of myxedema coma?
Loss of consciousness
Hypotension
Hypothermia
Respiratory failure
Hyponatremia
Hypoglycemia
Symptoms of addisons crisis?
Abdominal , flank, leg pain
Tachycardia
Nausea
Change in loc
What is the test of DI?
Hypertonic saline
Dehydration assessment
Signs of hyperthyroidism?
Weight loss
Weakness
Insomnia
Agitation
Tachycardia
Palpatation
Diarrhea
Polydipsia
Polyuria
exophthalmos
Goiter
Treatment of thyroid storm?
Reduce temperature
cardiac drugs to slow heart
Sedative to reduce anxiety
Treatment of Myxedema?
Airway
Levo
Fluids
Glucose
Corticosteroids
Rewarming
Treatment of Addisons crisis?
Aggressive Fluid replacement
IV hydrocortisone
IV vasopressors
Treat hyperkalemia
What might a nurse monitor with a patient with DI?
I and O's
Weights
Vitals
Tx for hyperthyroidism?
Methimazole
Propylthiouracil
Radioactive iodine
Thyroidectomy
What are the post-op complications of thyroidectomy?
Hemorrhage
respiratory distress
Hypocalcemia and tetany
Laryngeal nerve damage
Thyroid storm
Eye/vision problems
Risk factors of myxedema coma?
Poorly treated/untreated hypothyroidism
What are the interventions for Addison's?
Monitor for arrhythmias
check vitals frequently
monitor labs
glucose hourly
What are the electrolytes like with DI?
Hyper
What is the tell-tale sign of hyperthyroidism?
Sleeping heart rate above 80 bpm
What do you want to monitor post op after having thyroidectomy?
Hoarseness or stridor
Suture line pressure
Hypocalcemia
and tetany
THyroid storm
Patient education with Addison's disease?
Lifelong hormone replacement
Prednisone and Fludrocortisone
Regular feedings
Adequate rest
Avoid stress
What can cause DI?
Antidiuretic hormone deficiency
Surgical removal of pituitary
Chronic kidney disease
What is the UA like with DI?
Dilute
Low specific gravity