How will the nurse care for the patient following a thyroidectomy?

How will the nurse care for the patient following a thyroidectomy?
How will the nurse care of the patient following a adrenalectomy?
Differentiate between myxedema coma and thyroid storm. Possible nursing care for each

Solutions

Expert Solution

How will the nurse care for the patient following a thyroidectomy?

Place an ice bag on the neck wound because this will help to reduce swelling and pain.
Frequently check wound dressing and skin on back, neck, and shoulders for any bleeding from the wound.
Elevate the head of the bed 25 to 35 degrees. This helps to keep the respiratory tract unobstructed and the sputum to be expelled.
Provide neck massage evey 1-2 hours for relaxation.
Assist the patient and support the neck while changing the position to prevent pain due to neck activity.
Assess the pain using the pain scale and administer medications if the pain is intolerable.
Provide vapour inhalation therapy if the patient is unable to cough.
Instruct the patient that speak as little as possible for at least one weak.
Once the sutures are removed clean the area and apply surgical tape across the suture line.
Advise the patient to take liquid or soft diets at least in the first few days.
Advise the patient to take protein rich diet once the patient starts to take regular diet because it will augment wound healing.

How will the nurse care of the patient following a adrenalectomy?

Provide psychological support to the patient.
Take and record vital signs.
Measure intake and output
Monitor electrolytes on frequent schedule especially during the first 48 hours after surgery.
Administer IV fluids if necessary.
Assess for wound drainage.
Clean the wound and change wound dressing regularly.
Always use aseptic techniques to decrease the risk of infection.

Differentiate between myxedema coma and thyroid storm. Possible nursing care for each

Myxedema coma

It is a life-threatening condition in which patients with underlying thyroid dysfunction exhibit exaggerated manifestations of hypothyroidism.

There are no unequivocal criteria for a diagnosis of myxedema coma. However, clinical researchers have identified certain findings suggestive of the diagnosis. It includes altered mental status that may include coma, hypothermia, bradycardia, increased TSH level, decreased T4 level, and an illness that precipitated myxedema coma.

Nursing management includes

Continuously monitor ECG for dysrhythmias or profound bradycardia that can adversely affect cardiac output.
Continuously monitor pulmonary artery pressure, central venous pressure and blood pressure.
Monitor fluid volume status; measure hourly urine output and determine fluid balance every 8 hours
Assess cardiovascular status
Review thyroid studies as available.

Thyroid storm

It is a life-threatening health condition that is associated with untreated or undertreated hyperthyroidism.

During thyroid storm, an individual's heart rate, blood pressure, and body temperature can soar to dangerously high levels. Without prompt, aggressive treatment thyroid storm is often fatal.

Nightingale answered 1 year ago

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