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Hypothyroidism
pn 141 test 1 book: medsurg nursing pg: 345
Question | Answer |
---|---|
def of hypothyroidism | when the thyroid gland produces an insufficient amount of thyroid hormone |
who is it most common in | women between ages 30 and 60 |
what is thought to be the cause of it | congenital defects in the gland, antithyroid meds, surgical removel of the gland, or iodine deficiency |
three main disorders of hypothyroidism | goiter, Hashimotos's thyroiditis, and myxedema coma |
s/s: Endrocrine | goiter |
s/s: respiratory | pleural effusion |
s/s: GI | constipation |
s/s: MS system | muscle stiffness, weakness, fatigue, muscle cramps |
s/s: neurologic | lethargy slow horse speech, memory impairment, personality changes, slow clumsy movements |
s/s: sensory | edema around the eyes, decreased hearing |
s/s: CV system | hypotension, bradycardia, dysrhythmias |
s/s: reproductive | menorrhagia, infertility, decreased libido |
s/s: integumentary | hair loss, brittle nails, coarse dry skin, non pitting edema of the face hands and feet |
certain drugs ______ TH synthesis, leading to hypothyroidism | block |
is the onset slow or abrupt | slow (months even years) |
what happens to the metabollic rate when TH levels decrease | the metabollic rate decreases |
do the body systems slow or speed up | they slow |
the s/s are opposite of ___________ | hyperthyroidism |
Goiter: why does the thyroid gland enlarge | when TH production decreases it enlarges in an attempt to produce more hormone |
what is the enlarged thyroid called | a goiter |
are tehy cold or warm | cold |
why is TSH high | b/c thyroid needs stimulating |
why is there a goiter | b/c is it continually being stimulating |
med: synthroid: what does it do | it decreases the levels of TSH, and increases the levels of TH |
med: synthroid: adverse effects | palpitations, tachycardia, HA, nervousness, insomnia, diarrhea, Vomiting, wt loss, sweating |
med: synthroid: when to administer | in the morning before breakfast to increase absorption |
what is periobital edema: | edema around eyes |
hypothyroidism is also known as | myxedema coma |