thyroid

Question 1

needed to make thyroid hormone

Answer 1

iodine

Question 2

list the thyroid hormones & functions

Answer 2

T3 stimulator
T4 stabilizer
calcitonin takes serum calcium and brings into the bone for storage

Question 3

when does thyroid screening start?

Answer 3

at age 35

Question 4

best way to see if someone’s hyperthyroid medication is working how it should

Answer 4

lookg at T3 levels

Question 5

T3 resin uptake

Answer 5

give patient radioactive material contain iodine; looks for open sites

Question 6

what percents are abnormal T3 resin uptake values

Answer 6

< 25% hypothyroidism
> 35% hyperthyroidism

Question 7

thyroid antibodies

Answer 7

specifically looking at autoimmune disorders

Question 8

what conditions are thyroid antibodies 100% positive in?

Answer 8

hashimoto thyroiditis
graves disease
chronic autoimmune

Question 9

serum thyroglobulin

Answer 9

specific to thyroid cancer

Question 10

radioactive iodine uptake scan

Answer 10

looks for hot and cold area
hot= HYPERthyroidism
cold= cancer–> biopsy performed

Question 11

what info does nurse need to know before radioactive iodine uptake scan

Answer 11

if the patient is taking iodine OTC or prescription because it can cause inaccuracy

Question 12

most common causes of hypothyroidism

Answer 12

hashimoto disease

Question 13

types of hypothyroidism

Answer 13

primary: thyroid
secondary: TSH
tertiary: TRH
neonatal: congenital at birth

Question 14

myxedema coma

Answer 14

severe hypothyroidism
- hypotension
- bradycardia
- hypothermia
- decreased RR

Question 15

hypothyroid treatment

Answer 15

synthroid, levothyroxine, levoxyl
glucocorticoids

Question 16

synthroid, levothyroxine, levoxyl

Answer 16

thyroid replacement
on empty stomach if PO
take slowly if IV

Question 17

thyroid replacement nursing considerations

Answer 17

if myxedema coma= IV
if IV too fast= possible adrenal insufficiency–> take steroids
watch for cardiac events

Question 18

glucocorticoids

Answer 18

check cortisol, TSH, T4

Question 19

what is thyroid replacement dosage based on?

Answer 19

TSH level

Question 20

what to avoid with hypothyroidism?

Answer 20

hypnotics & sedatives
magnesium antacids
digitalis
anticoagulants

Question 21

most common cause of hyperthyroidism

Answer 21

graves disease

Question 22

who is more likely to have hyperthyroidism?

Answer 22

women 8x more likely than men

Question 23

classic manifestations of hyperthyroidism

Answer 23

exophthalmos
goiter

Question 24

hyperthyroidism treatment

Answer 24

radioactive iodine therapy
medication
thyroidectomy/subtotal thyroidectomy

Question 25

radioactive iodine therapy nursing considerations

Answer 25

avoid pregnancy, lactation, and close contact
watch for thyroid storm & iodine toxicity

Question 26

hyperthyroid medications are first line therapy

Answer 26

PTU
methimazole
SSKI
dexamethasone

Question 27

thyroidectomy nursing considerations

Answer 27

watch for hypothyroidism
watch for thyroid storm
watch for post op complications

Question 28

biggest concerns for post op thyroidectomy patient

Answer 28

AIRWAY blockages
stridor
bleeding

Question 29

thyroid storm symptoms

Answer 29

high fever
tachycardia
altered mental status
exaggerated symptoms of hyperthyroidism