Medical Surgical Nursing

Goiter Thyroid cancer HYPOTHYRODISM Hypothyroidism is the disease state caused by insufficient production of thyroid hormone b ...

Medications Radiation to head and neck Clinical Manifestations: Fatigue. Constipation. Apathy Weight gain. Memory and mental ...

Treatment Lifelong Thyroid Hormone Replacement levothyroxine sodium (Synthroid, T4, Eltroxin) IMPORTANT: start at low does, to ...

Give glucose IV Give corticosteroids Check temp, BP hourly Monitor changes LOC hourly Aspiration precautions, keep warm Hypert ...

Medical Management of Hyperthyroidism Radioactive 131I therapy Medications Propylthiouracil and methimazole Sodium or potassium ...

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Thyroiditis Inflammation of the thyroid gland. Can be acute, subacute, or chronic (Hashimoto's Disease) Each type of thyroiditi ...

Thyroid Tumors Can be being benign or malignant. If the enlargement is sufficient to cause a visible swelling in the neck, refe ...

Thyroidectomy Treatment of choice for thyroid cancer Preoperative goals include the reduction of stress and anxiety to avoid pr ...

Postop Thyroidectomy Nursing Care CHECK FOR HEMORRHAGE 1st 24 hrs: Look behind neck and sides of neck Check for c/o pressure or ...

Hyperparathyroidism Primary hyperparathyroidism is 2–4 X more frequent in women. Manifestations include elevated serum calcium, ...

Trousseau‘s sign and Chvostek‘s sign Management of Hypoparathyroidism Increase serum calcium level to 9—10 mg/dL Calcium gluc ...

Adrenal Insufficiency Adrenal cortex function is inadequate to meet the needs for cortical hormones Primary: Addison‘s Disease ...

Manifestations Muscle weakness, anorexia, GI symptoms, fatigue, dark pigmentation of skin and mucosa, hypotension, low blood g ...

Diagnoses Risk for fluid volume deficit Activity intolerance and fatigue Knowledge deficit Interventions Risk for fluid defic ...

Clinical Manifestations Hyperglycemia which may develop into diabetes, weight gain, central type obesity with ―buffalo hump,‖ ...

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Medical Management Pituitary tumor Surgical removal radiation Adrenalectomy Adrenal enzyme inhibitors Attempt to reduce or tape ...

Nursing Management Prevent injury Increased protein, calcium and vitamin D in diet Medical asepsis Monitor blood glucose Modera ...

Decreased risk of injury, Decreased risk of infection, Increased ability to carry out self-care activities, Improved skin integ ...