HYPER AND HYPOTHYROIDISM

Question 1

Also called Thyrotoxicosis

Answer 1

Hyperthyroidism

Question 2

Incidence in Hyperthyroidism

Answer 2

Female <40 yrs. old

Question 3

Hyper: Diet

Answer 3

High Calorie and Low Fiber

Question 3

The cause of Grave’s Disease is __ but there is a ___.

Answer 3

Unknown; Hereditary link

Question 3

Hyper: FACTORS

Answer 3

Autoimmunity
Neoplasms
Excessive intake of Thyroid meds

Question 3

Most common cause of Hyper?

Answer 3

Grave’s Disease

Question 4

Hypocalcemia results to?

Answer 4

Increased membrane permeability which leads to Increased neuromuscular irritability

Question 4

Hyper: Manifestations

Answer 4

Everything is HIGH and WET

Question 5

Due to Increased metabolism

Answer 5

High appetite
Weight Loss
Heat intolerance

Question 5

Due to Hypocalcemia

Answer 5

Hyperactive Bowel sounds
Diarrhea
Nervousness
Restlessness

Question 5

Due to activation of CNS/ SNS

Answer 5

Hypertension
Diaphoresis
Palpitation

Question 6

Hyper: Eye Manifestations

Answer 6

Exophthalmos
Von Graefe’s
Joffroy’s Sign
Proptosis

Question 6

Protrusion of one or both eyes

Answer 6

Exophthalmos

Question 6

the palpebral fissure in Von Graefe’s are?

Answer 6

Long and Deep

Question 6

Abnormal vertical wideness of the Palpebral fissure.

Answer 6

Von Graefe’s

Question 6

Cause of Exophthalmos?

Answer 6

Accumulation of Fluid at the Fat pads behind the eyeballs.

Question 6

Joffroy’s Sign

Answer 6

Forehead remain smooth when looking up.

Question 7

Iodides (2)

Answer 7

Lugol’s Solution
Saturated Solution of Potassium Iodide (SSKI)

Question 7

Signs of Proptosis

Answer 7

Blurred Vision
Diplopia
Eye pain
Lacrimation
Photophobia

Question 8

SSKI is also used in ___.

Answer 8

Thyroid Storm

Question 8

Proptosis

Answer 8

Forward Displacement of the eye or Bulging

Question 8

Give before Subtotal Thyroidectomy for less vascular

Answer 8

Lugol’s Solution

Question 9

COMMON side effects of IODIDES

clue: VAMIC ARS

Answer 9

Vomiting
Allergic reaction
Metallic or Brassy taste
Increased Salivation
Coryza
Abdominal Pain
Rashes
Sore gums

Question 9

Anti- thyroid meds: THIOAMIDES

Answer 9

Methimazole (Tapazole)
Prophythiouracil (PTU)

Question 9

DOC of thyroid storm

Answer 9

Lugol's Solution

Question 9

Iodides that Inhibit TH synthesis and release

Answer 9

SSKI

Question 10

Nursing Responsibilities in IODIDES: (5)

Answer 10

Assess for HYPERSENSITIVITY to Iodine. Dilutes Iodine Sources: COLD WATER and FRUIT JUICES Provide DRINKING STRAW. Monitor for increased BLEEDING TENDENCIES.

Question 10

Methimazole: Cannot be taken during?

Answer 10

Pregnancy

Question 11

THIOAMIDES: Administer?

Answer 11

at the same time each day with meals.

Question 11

Other SE of THIOAMIDES

Answer 11

Hypothyroidism Pruritus Periorbital Edema Anorexia Loss of Taste and Smell Menstrual Changes

Question 11

Full effects experienced in?

Answer 11

12 weeks

Question 11

Methimazole: Can be taken in?

Answer 11

1 daily dose

Question 11

Avoid ASA and Iodine containing meds.

Answer 11

Because it elevates Free Thyroid Hormone levels

Question 12

PTU: Inhibit?

Answer 12

TH production

Question 12

PTU: Must be taken in?

Answer 12

3 doses daily

Question 12

THIOAMIDES: SE- Agranulocytosis/Neutropenia with leukopenia

Answer 12

FRD S/S

Question 12

Other Meds for Hyperthyroidism? (2)

Answer 12

Beta Blocker and CCB

Question 13

Weight Gain indicates?

Answer 13

Effectiveness of the meds

Question 14

CCB - Glucocorticoids

Answer 14

Dexamethasone

Question 14

5/6 of the Gland is removed

Answer 14

Subtotal Thyroidectomy

Question 14

Periop Care: ASSESS clue: GV WEH

Answer 14

Glucosuria Vital Signs Weight Electrolyte levels Hyperglycemia

Question 14

Other Periop care for Subtotal Thyroidectomy

Answer 14

Teacg

Question 15

Treats cancer of the thyroid and requires lifelong hormone replacement

Answer 15

Total Thyroidectomy