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2024
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Week 5
• Thyroid
o Diagnosis & Evaluation
▪ What labs are used to diagnose? TSH, total T4 and T3, free T4 and T3,
also get LFTs and CBC
▪ Timeframe fo...
NR 565 FINAL EXAM
STUDY GUIDE
UPDATED 2024/2025
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IMPORTANT GUIDE
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,Tutor23 study resources
2024
Ensure you pass with us email us at studyking254@gmail for more study resources success on
your studies.
Week 5
• Thyroid
o Diagnosis & Evaluation
▪ What labs are used to diagnose? TSH, total T4 and T3, free T4 and T3,
also get LFTs and CBC
▪ Timeframe for re-check of labs after starting levothyroxine 6-8 weeks
after starting therapy, euthyroid 1 year
▪ Signs and symptoms of hypo and hyperthyroidism
▪ Hypothyroidism
• Face: Pale, Puffy, Expressionless
• Skin: Cold and dry
• Brittle and hair loss
• Heart rate and temp are lowered
• Complaints of lethargy, fatigue, intolerance to cold
• Weight gain
• Impaired mentation
• Thyroid enlargement if decreased levels of T3 and T4 promote
excessive release of TSH
▪ Hyperthyroidism
• Strong and Rapid Heartbeat, dysrhythmias and angina possible
• Nervousness, insomnia, rapid thought flow and speech
• Skeletal muscle may weaken and atrophy
• Skin warm and moist, intolerant to heat
• Increased appetite but patient experiences weight loss
• All symptoms are called thyrotoxicosis
• If the patient has Graves’ disease-exophthalmos
,Tutor23 study resources
2024
o Treatment
▪ Treatment of thyroid storm-PTU (Propylthiouracil) is preferred treatment
of thyroid storm. High dose potassium iodine or strong iodine solution
to suppress thyroid hormone release, or methimazole to suppress thyroid
hormone synthesis, corticosteroids, beta-blockers- reduce heart rate,
and supportive measures are needed (sedation, cooling, IV fluids).
▪ Result of not treating hypothyroidism during pregnancy
Permanent neurological defects, decreased IQ, large protruding tongue,
potbelly dwarfish stature, impaired development of nervous system bone
teeth and muscles.
▪ Medication to treat symptoms of hyperthyroidism (notice this is
treating symptoms and not the hyperthyroidism itself)
, Tutor23 study resources
2024
• Diabetes
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