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ADN002 MED SURG > Week 4 Thyroid Lecture > Flashcards

Week 4 Thyroid Lecture Flashcards

1
Q

Closely linked with neurologic and immune systems

A

Endocrine System

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2
Q

Affects most cells, organs, and body functions called

A

Negative Feedback Mechanism

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3
Q

Peptide

A

Protein act on cell surface

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4
Q

Steroid

A

Act inside the cell

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5
Q

Fatty Acid Derivative

A

Types of hormones

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6
Q

Anterior Pituitary

A

FSH, LH, Prolactin, ACTH, TSH, GH

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7
Q

Hyper =

A

Cushings, gigantism, acromegaly

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8
Q

Hypo=

A

Dwarfism

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9
Q

Posterior Pituitary

A

ADH, Vasopressin, Oxytocin

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10
Q

Hyper Posterior

A

SIADH

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11
Q

Hypo Posterior =

A

DI

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12
Q

Surgery

A

Hypophysectomy
Tumors are 95% benign

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13
Q

T3 is …. form

A

Active Form

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14
Q

T4 is …. form

A

Inactive form

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15
Q

Elevated calcium levels cause release of

A

Calcitonin and increases osteoblast activity

Calcitonin opposes PTH

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16
Q

Thyroid Hormones

A

T3,T4, and calcitonin

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17
Q

TSH from the controls the release of thyroid hormone

A

Anterior Pituitary Gland

18
Q

T3 is more what compared to T4

A

More potent

19
Q

Thyroid Diagnostic Tests

A

TSH
Serum free T4
T3 and T4
T4 Resin Uptake
Thyroid Antibodies
Radioactive Iodine Uptake
FIne Needle Biopsy
Thyroid Scan, radioscan, scintiscan
Serum thyroglobulin

20
Q

Thyroid Scintigraphy

A

Nuclear medicine procedure that displays visible thyroid tissue

Determines location, size and shape and function of thyroid

21
Q

Severely stunted physical and mental growth owing to untreated congenital deficiency of thyroid

A

Cretinism

22
Q

Thyroiditis

A

Infection/ inflammation of thyroid

23
Q

Goiter

A

Abnormally large thyroid- lack of iodine or related to hyperthyroidism

24
Q

Hashimotos Disease

A

Chronic Lymphocytic thyroiditis

Autoimmune Disease

25
Q

Myxedema

A

Severe hypothyroidism

Used to describe a dermatological change that can occur in hypothyroidism.

26
Q

Hypothyroidism

A

Hair Loss
Apathy
Lethargy
Dry Skin
Aches
Constipation
Intolerance to cold
Brittle Hair and nails

27
Q

Late Clinical Manifestations

A

Subnormal Temp
Bradycardia
Weight Gain
LOC
Thickened Skin
Cardiac Complications

28
Q

Myxedema

A

Lateral eyebrows thin
Periorbital Edema
Puffy dull face with dry skin

29
Q

Medical Management oh Hypothyroidism

A

Synthetic Levothyroxine (Synthroid) replacement therapy

Levothyroxine- Synthetic for T4 which is converted to T3

Dose is 12.5 to 125 mcg one or more per day depending on pt weight

30
Q

Side Effects

A

Tachycardia
Weight Loss
Trouble tolerating
Sweating
Anxiety
Trouble Sleeping

31
Q

Medications that should not be taken with levothyroxine

A

Amiodarone
Antacids
Anticonvulsants
Beta Blockers
Birth Control Pills

32
Q

Support cardiac Function

A

Due to alteration in myocyte gene expression. Hypothyroidism.

33
Q

Hyperthyroidism

A

Too much T3 and T4

Common cause of this is Graves Disease

Affect women’s 8x more than men

Nervousness: rapid pulse, heat intolerance, tremors, skin flushed, warm, and soft, and moist, exophthalmos, increased appetite, weight loss, elevated Systolic Bp, Cardiac Dysrhythmias

34
Q

Hyperthyroidism

A

Intolerance to Heat
Bulging Eyes
Facial Flushing
Enlarged Thyroid
Tachycardia
Weight Loss
Muscle Wasting
Tremors
Finger Clubbing

35
Q

Propylthiouracil

A

Thyroperoxidase inhibitor

(Antithyroid)

Methimazole- Thyroperooxidase inhibitor

36
Q

Long term Steroid Effects

A

Increased Sugar
Weight Gain
Risk for Infection

37
Q

Treatment choice for thyroid cancer

A

Thyroidectomy

38
Q

Preoperative Goals

A

Reduction of stress and anxiety and prevent thyroid storm

39
Q

Pre Operative Education for Thyroidectomy

A

Dietary Guidance to meet patient metabolic needs, avoidance of caffeinated beverages and other stimulants, explanation of tests and procedures, and head and neck support after surgery

40
Q

Post Operative Care Thyroidectomy

A

Monitor respirations, potential airway impairment
Monitor bleeding and hematoma

Assess Pain

Semi Fowlers Position, support head and neck

Assess Voice, discourage talking

Potential hypocalecemia

41
Q
A
42
Q

Jjj

A

ADN002 MED SURG (18 decks)

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