Question

In: Nursing

Use Ati Active learning Template to demonstrate Hypothyroidism

Use Ati Active learning Template to demonstrate Hypothyroidism

Solutions

Expert Solution

Diagnosis

  • Examination of thyroid symptom and signs
  • Assessment of T3 and T4 levels
  • Low TSH level

Long-term effects related to the problem

Untreated hyperthyroidism leads to the overproduction of T3 and T4 hormone levels. A large amount of thyroid hormone results in thyroid storm.

Disease prevention

  • Maintaining adequate thyroid level by following proper therapy
  • Treating the underlying cause
  • Exercise
  • Stress reduction
  • Adequate diet consumption

Risk factors

  • Autoimmune diseases
  • Thyroid nodules
  • Excessive iodine consumption
  • Patient with untreated hyperthyroidism

Expected findings

  • Lagging eye movements
  • Hair thinning
  • Dyspnoea
  • Tachycardia

Safety

  • Caution should be taken especially in the case of pregnant women.
  • Older adults can develop arterial fibrillation so precautions should be followed.

Laboratory test

  • T3
  • T4
  • TSH level
  • Thyroid-stimulating immunoglobulins
  • Antibodies of the thyrotropin receptors

Diagnostic procedure

  • ECG
  • USG
  • Radioactive iodine uptake

Nursing care

  • Assist in daily activities and minimizing energy expenditure
  • Monitoring the nutritional status and subsequently the daily weight
  • Providing a stress-free environment
  • Administering regular medications

Therapeutic procedures

Radioactive uptake test or surgical extraction of the thyroid gland is the treatment procedure.

Medication

  • Beta-blocker
  • Potassium iodide
  • Glucocorticoid
  • Propylthiouracil

Client education

  • Asses for the iodine allergy
  • Radioactive iodine should be taken 24 hours prior.
  • Educating the clients about a protein-rich diet.

Interprofessional care

  • Radiotherapist should instruct the patient before and after the procedure
  • The patient should be thoroughly examined by the physician before the procedure
  • The nurse should carefully monitor the client before and after the procedure

Complications

  • Arterial fibrillation
  • Osteoporosis
  • Heart failure

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