NR325 FINAL EXAM 2023
hypothyroidism
unable to produce T3 or T4
s/s of hypothyroidism
extreme fatigue, weight gain, low HR, hair loss, dry skin
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management of hypothyroid...
hypothyroidism
unable to produce T3 or T4
s/s of hypothyroidism
extreme fatigue, weight gain, low HR, hair loss, dry skin
Brainpower
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Next
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management of hypothyroidism
T4 (levothyroxine) replacement therapy
myxedema coma (hypothyroidism)
resp depression, lethargy progressing to stupor (due to untreated hypothyroid, or infection)
hyperthyroidism
excessive activity of the thyroid gland (TSH)
s/s of hyperthyroidism
nervousness, rapid pulse, exophthalmos, heat intolerance
medications for hyperthyroidism
methimazole, dexamethasone, beta blockers
management of hyperthyroidism
radioactive iodine therapy, thyroidectomy
thyroid storm (hyperthyroidism)
metabolic rate inc. rapidly (due to uncontrolled hyperthyroid or infections)
parathyroid hormone regualtes:
calcium and phosphorus
hypoparathyroidism
PTH deficiency caused by surgery (thyroidectomy)
s/s of hypoparathyroidism
, tetany, numbness, tingling, stiffness, anxiety/depression
(hypocalcemia, hyperphosphatemia)
hypoparathyroidism has a positive:
Chovestek's and Trousseau's sign
management of hypoparathyroidism
long term oral Ca+ supplements, Ca+ gluconate (diet low in P+)
s/s of hyperparathyroidism
inc. Ca+, bone decalcification, renal calculi, fatigue, n/v, HTN
management of hyperparathyroidism
parathyroidectomy, hydration, restrict Ca+
adrenal crisis
adrenal suppression by chronic steroid use that is abruptly stopped (adrenal gland damage)
Addison's disease
ACTH not being released (due to autoimmune or tremors)
s/s of Addisons's disease
muscle weakness, anorexia, GI s/s, fatigue, dark pigmentation
management of Addison's disease
monitor F/E status, vitals, weight changes
Cushing syndrome
excessive adrenocortical activity or corticosteroid meds
s/s of Cushing syndrome
hyperglycemia, buffalo hump, heavy trunk, thin extremities, fragile thin skin, weakness
nursing considerations for Cushing syndrome
activity level, skin assessment, mental function, emotional status
primary Aldosteronism
excess production of aldosterone by the adrenal glands resulting in low renin levels
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