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thyroid dysfunction

hypothyroidism

QuestionAnswer
hypothyroidism deficiency of thyroid hormone
causes of hypothyroidism iodine deficiency, atrophy of the gland, treatment for hyperthyroidism, drugs, cretinism
clinical manifestations of hypothyroidism slow onset, vary by age and severity fatigue, impaired memory, slowed speech, lethargic, depressed, weight gain, cold intolerance, confusion, hair loss
cardiovascular CMs decreased cardiac output and contractility increased serum cholesterol and triglycerides
respiratory system CMs low exercise intolerance, increased serum cholesterol and triglycerides
neurologic system CMs fatigue and lethargy mood and personality changes
GI system CMs decreased appetite weight gain
integumentary system CMs dry, inelastic, thick and cold skin thick, brittle nails
muscular system CMs muscle aches and pains slow movements
reproductive system CMs prolonged menstrual periods or amenorrhea decreased libido and infertility
myxedema coma is characterized by: impaired consciousness, subnormal temperature, hypotension, hypoventilation, cardiovascular collapse
how is myxedema coma treated IV thyroid hormone
what is myxedema coma precipitated by: infection, drugs, cold, trauma
diagnostic studies for hypothyroidism increased TSH increased triglycerides, cholesterol, CK decreased RBCs
levothyroxine (Synthroid) considerations start dose low, monitor HR, report pulse > 100, report weight loss, nervousness, chest pain
when to take levothyroxine do not take within 4 hours of taking GI meds take an hour before eating on an empty stomach
nursing management: monitor: skin care, weight, edema, cardiovascular response to hormone, energy level, mental alertness
management of myxedema coma mechanical respiratory support cardiac monitoring IV thyroid replacement monitor core temperature
Created by: ebrewer12
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