Class notes
RNSG 1341 Hypo and Hyper thyroid signs and symptoms Lecture Notes
- Course
- RNSG 1341
- Institution
- San Jacinto College
This is a comprehensive and detailed lecture note on Hypo and Hyper thyroid signs and symptoms.
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GOAL OF THERAPY FOR BOTH: MAINTAIN EUTHYROID STATE – NORMALSTATE
HYPOTHYROIDISM “LOW & SLOW”
Primary Hypothyroidism – causes
- More common in women
- Hashimoto’s disease – most common cause
- Surgical removal of thyroid
Signs and symptoms of hypothyroidism are often nonspecific and include:
Sleepiness
Fatigue
Cold intolerance – always cold brrrrr
Weight gain
Muscle aches
Menstrual irregularities
Decreased libido
Pale, dry skin
Thin, brittle hair or nails
Bradycardia
Constipation
Unintentional weight gain
Edema (especially periorbital)
Difficulty with concentration and memory
Slowing of relaxation phase of tendon reflexes
May have higher diastolic blood pressure
Most serious form of hyperthyroidism is myxedema
Proximal myopathy
Warm, moist skin
Hyperkinesis
Stare, lid lag, lid retraction, and exophthalmos (with Graves disease)
Emotional liability
Hyperactive reflexes
Thyroid enlargement (Goiter)
Goiter possible
Myxedema Coma – severe form of hypothyroidism. From
untreated
Lab tests:
, - TSH HIGH (thyroid caused)
- LOW (pituitary caused)
- T4/T3 LOW
- Thyroid antibodies present? = Autoimmune issue.
- Monitor high cholesterol and triglycerides
Diagnostic testing:
- Thyroid scan
- Fine-needle biopsy
- Ultrasound
- Radioactive iodine uptake
Medical management:
Levothyroxine (Synthroid)
- Start with low dose. 75-150 mcg
- Lower dose for geriatrics 50 mcg
- Monitor for chest pain, weight loss, nervousness, tremors
insomnia
- Increase dosing 4–6-week intervals PRN based on TSH
levels
- MUST TAKE FOR LIFE
Nursing Assessment
- Health history
Hyperthyroidism treatment
Iodine-containing meds
Changes in appetite/weight
Activity level
Speech, memory, skin changes
- Physical exam
- Patient Education
Follow-up care
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