Adult Med-surg
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| What is hyperthyroidism? | show 🗑
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| Who is affected more? | show 🗑
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| What age has the highest frequency? | show 🗑
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| show | Non-production of THS
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| show | Grave's disease
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| show | Thyroiditis, toxic nodular goiter, exogenous iodine excess, pituitary tumors, thyroid cancer.
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| What is thyroidtoxicosis? | show 🗑
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| show | Autoimmune disease of unknown etiology with diffuse thyroid enlargement and excessive thyroid hormone secretion.
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| show | Insufficient iodine supply, infection, stressful life events interacting with genetic factors.
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| How is Grave's an autoimmune disorder? | show 🗑
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| show | Increased metabolism, Increased tissue sensitivity to the sympathetic nervous system (Fight of fight or flight)
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| show | Exophthalmos
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| What is exophthalmos? | show 🗑
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| What are some cardiovascular manifestations of hyperthyroidism? | show 🗑
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| What are some GI Tract manifestations? | show 🗑
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| show | Warm, smooth, moist skin. Thin brittle nails, Hair loss, clubbing of fingers, Diaphoresis, vitiligo.
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| What are some manifestations of the musculoskeletal system. | show 🗑
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| show | Menstrual irregularities, amenorrhea, Decreased libido, impotence, gynecomastia, in men, decreased fertility.
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| What are some nervous system manifestations? | show 🗑
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| How are stimulant drugs reacted to with hyperthyroidism? | show 🗑
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| show | Intolerant to heat.
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| show | H&P, ophthalmologic exam, ECG, Radioactive iodine uptake (RAIU) (to separate Grave's from other types of hypothyroid sufferers.
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| What are some expected lab values specific to the functioning of the thyroid? | show 🗑
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| show | Block adverse effects of thyroid hormones and stop hormone oversecretion
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| How are beta-Adrenergic blockers of assistance? | show 🗑
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| What is RAI? | show 🗑
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| show | Pregnant adults.
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| What does RAI do? | show 🗑
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| What are some drawbacks to RAI? | show 🗑
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| When would surgery be preferred over RAI? | show 🗑
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| What is a subtotal thyroidectomy? | show 🗑
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| show | Too much may be removed leading to hypothyroidism.
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| show | antithyroid drugs, iodine, beta-Adrenergic blockers. These are used to achieve a euthyroid state and to control symptoms.
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| What are some complications of surgery? | show 🗑
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| show | High calorie, protein of 1-2 g/kg. Avoid caffiene, highly seasoned foods, high fiber foods as SNS problems may develop.
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| show | Activity intolerance, Risk for injury, imbalanced nutrition: less than body requirements, anxiety, insomnia.
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| show | Relief of symptoms, Have no serious complications related to disease or treatment, maintain nutritional balance, cooperate with therapeutic plan.
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| show | Hospitalization, aggressive treatment, thyroid blocking medications, IV fluids, ensure oxygenation, monitor for cardiac dysrhythmias, calm quiet room, cool room, light bed coverings, artificial tears, tape eyelids shut if they can't close them for sleep,
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| show | Airway problems.
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| show | alleviate signs/symptoms of thyrotoxicosis, control cardiac problems, Assess for signs of iodine toxicity, Oxygen, suction, tracheostomy tray in room.
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| Preoperative teaching? | show 🗑
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| Postop nursing care? | show 🗑
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| show | Call for help!!!
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| show | Intense wheezing trying to get air through a restricted airway.
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Created by:
mpabner
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