Hyperthyroidism (Grave's Disease)

Question 1

S/S of Hyperthyroidism

Answer 1

• weight loss
• increase appetite
• tachycardia, palpitations, increase BP
• diaphoresis ( excessive sweating)
• exophthalmos ( bugged eyes)
• goiter

Question 2

What causes hyperthyroidism?

Answer 2

• too much TSH produced by the anterior pituatary gland

Question 3

Labs that help indicates hyperthyroidism

Answer 3

• elevated T4

Question 4

Hyperthyroid crisis–>

Answer 4

Thyroid storm is uncontrol hyperthyroidism d/t Grave’s Disease

Question 5

S/S of Thyroid storm

Answer 5

• tachycardia
• agitation
• HTN
• anxiety

*same s/s as hyperthyroidism but amplified

Question 6

Drugs to treat Thyroid storm

Answer 6

• Propylthiouracil (PTU)
• Methimazole

Question 7

NI:

1. exophthalmos–>
2. Thyroidectomy–>

Answer 7

1. artifical tears, sunglasses, annual eye exam
2. Post-op unexpected outcome laryngeal edema

• tracheostomy kit
• O2 and suction
• Ca gluconate

check for bleeding

check airway

keep drainage devices compressed and empty

Watch out for Hypocalcemia

monitor Trousseau/Chyostek (because of the removal of the parathyroid)

monitor Ca+ level

Question 8

NI diet:

Answer 8

• high protein, high calorie
• low caffeine
• low fiber