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HONDROS NUR 212 Exam 3 -Questions And Answers
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HONDROS NUR 212 Exam 3 -Questions AndAnswers
subclinical hyperthyroidism lab values - ✔️ TSH below 0.4
T3 and T4 normal
overt hyperthyroidism labs - ✔️ no TSH
elevated T3 and T4
graves disease is a common form of hyperthyroidism. it can destruct the
thyroid tissue, which can lead to - ✔️ hypothyroidism
skin/hair/nails for a hyperactive thyroid pt - ✔️ warm, smooth,
moist
THIN brittle nails
patchy hair loss with fine silky hair
clubbing of fingers
skin/hair/nails for hypoactive thyroid patient - ✔️ dry, thick,
inelsastic cold skin
THICK, brittle nails
dry, sparse, coarse hair
puffy face
decreased sweating
pale
TPO - ✔️ measured to assess for thyroiditis
Hashimotos lab values - ✔️ thyroid hormones = low
TSH = high
complications of hyperthyroidism - ✔️ thyrotoxicosis (aka
thyrotoxic crisis aka thyroid storm)
thyroid storm s/s - ✔️ severe tachycardia
HF
shock
hyperthermia (106)
, abdm pain
N/V/D
agitation
delirium
seizures
what is used to detect between graves disease and thyroiditis - ✔️
RAIU
graves will have an uptake, thyroiditis will not
care for hyperthyroid - ✔️ managing resp distress
reducing fever
replacing fluid
eliminating stressors
drugs used for hyperthyroidism - ✔️ antithyroid drugs (PTU and
Tapazole)
beta blockers
iodine
Propylthiouracil - ✔️ pts who are pregnant first trimester,
had adverse reaction to tapazole
first line therapy for thyrotoxicosis (thyroid storm)
taken three times a day
hyperthyroid labs - ✔️ low TSH (below 0.4)
high T4
when is iodine given for pts with hyperthyrpid - ✔️ before surgery
and during thyrotoxicosis
given with liquid, sipped through a straw to avoid orange staining - given after
meals
iodine toxicity - ✔️ excessive salivation
swelling of buccal mucosa and other membranes
nausea, vomiting
skin reactions
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