Hormones
This hormone is released from the hypothalamus
What is TRH
This is an autoimmune disease which the immune system is attacking the thyroid gland
What is Hashimoto's
Name 4 symptoms of Hyperthyroidism
What is exophthalmos, goiter, arrythmia, tachycardia, nausea, diarrhea, Oligomenorrhea infrequent menstrual periods, muscle weakness, tremors, headache, weight loss, nervousness, emotional instability, sweating
When TSH is low, name the other hormones and which level they are
What are high levels of T3, T4
Before taking this diagnostic test, the nurse should ask the patient if they are allergic to shellfish
What is Radioiodine uptake test
The purpose of the Thyroid gland is to regulate
What is basal metabolism, psychosomatic body growth, regulate body's energy, release calcitonin when calcium levels are low, help with muscular, nervous, GI systems
Name causes of hypothyroidism
What is Hashimoto's Thyroiditis, atrophy from aging, congenital
This is an emergency of Hyperthyroidism
What is Thyroid storm
Which thyroid hormone is more abundant in the blood stream
What is T4
Name the first line of drugs for a thyroid storm
What is Propylthiouracil (PTU) and Methimazole (MMI)
This is needed to produce TSH
What is Iodine
Signs and symptoms of Hypothyroidism include (name 4)
What is cold intolerance, lethargy, weight gain, constipation, goiter, fatigue, elevated cholesterol, muscle weakness, changes in menstrual patterns, joint pain, dry skin, depression, impaired memory
Causes of Thyroid Storm name 3
What is stress, illness, labor of child, overuse of thyroid medication or abrupt withdrawal of thyroid medication, undertreated hyperthyroidism, females, seniors, not getting hormones tested regularly, diabetes, auto immune disorders, insulin DKA
This test assesses autoimmune disease of the thyroid gland
What is anti-TPO antibodies
The nurse recognizes these findings most consistent with Thyroid storm
What is a HR above 130's, Fever, Severe agitation
This gland secretes T3 & T4
What is anterior pituitary gland
Causes of Myxedema Coma (name 3)
What is undiagnosed, undertreated hypothyroidism, stress, illness, surgery, trauma, missed taking medications
Treatment of Thyroid storm
What is PTU, MMI, measures, acetaminophen, fluid resuscitation, propranolol, oxygen therapy, electrolyte correction
After drinking or injecting radioactive tracers a GAMA camera can determine the location, size, and anatomic function of the thyroid gland
What is Thyroid scanning
A client just had a thyroidectomy, what are some nursing interventions and teaching for the client?
What is monitor airway. for bleeding, swelling, keep tracheotomy at bedside, keep head of bed semi-fowlers, teach client small frequent meals high in protein and calories
When the hormone concentration increases, production of the hormone is then decreased is known as
What is the negative feedback system
Treatment for Myxedema Coma (name 3)
What is IV levothyroxine (T4), IV liothyronine (T3), monitor respiratory possible vents, monitor for cardiac function, electrolytes, hormone levels
Has a "bruit" or "thrill" and found in both hypothyroidism and hyperthyroidism
What is a Goiter
This diagnostic test shows detailed anatomy of the thyroid gland and checks for spread of effect of nearby structures
What is CT and MRI
A client is receiving radioactive iodine therapy. What nursing education can the nurse give the client?
What is check for pregnancy within 48hrs of treatment, no pregnancy or trying to conceive for 6 months, don't share bed, any type of fluid salvia, urine, cups, utensils, clothes separate, flush twice, for 8 days isolation