Hypothyroidism

Hypothyroidism nursing dx for dehydration – Hyperthyroidism Nursing Care Plan and Management

Antithyroid drugs Rationale: May decrease signs and symptoms or prevent worsening of the condition.

Rationale: Saliva will be radioactive for 24 hours. Monitor physical responses, noting palpitations, repetitive movements, hyperventilation, fog. Other Drugs: Beta-adrenergic blockers, corticosteroids, radioactive iodine Nursing Interventions Provide adequate rest. Question 4. We're glad you have enjoyed Nursing Central! Rationale: Attention span may be shortened, concentration reduced, limiting ability to assimilate information.

  • Finding help online is nearly impossible. The skin may have a sheen of perspiration or be salmon colored.

  • Note: If patient has edema, suggest a low-sodium diet. Decrease systolic blood pressure.

  • Question 4.

  • Question 9. Withhold exogenous iodine to create a negative feedback response, which will force the gland to secrete hormones.

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Draw blood for thyroid-stimulating hormone, T3, and T4 levels. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess. Body image disturbance related to weight gain and edema.

Cardiac monitor and oxygen tank. Rationale: May be used in conjunction with medical regimen to reduce effects of hyperthyroid secretion. Administer antianxiety agents or sedatives and monitor effects. Elevation of thyroid hormones decreased TSH secretion by negative feedback. If you leave this page, your progress will be lost. Purchase a subscription.

Magnesium chloride. Upon assessment, the immediate priority that the nurse would include is:. Emphasize importance of planned rest periods. Question 6.

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Graves disease is treated pharmacologically see Pharmacologic Highlights. They may have a history of heart failure or cardiac dysrhythmias. Reorient to person, place, or time as indicated. Related Posts. Treatment is directed toward reducing thyroid hyperactivity for symptomatic relief and removing the cause of complications.

  • The client complains of increased thirst and increased urination. Draw blood for thyroid-stimulating hormone, T3, and T4 levels.

  • Risk for Impaired Tissue Integrity: Corneal—may be related to inability to close eyelids secondary to exophthalmos.

  • Digoxin Lanoxin. Nursing Interventions Monitor vital signs, noting pulse rate at rest and when active.

Note urine specific gravity. An elevated systolic blood pressure. Based hypotthyroidism the assessment data, the nursing diagnoses appropriate for a for dehydration with hypothyroidism are:. Rationale: May be done to achieve rapid depletion of extrathyroidal hormone pool in desperately ill or comatose patient. Instructing and teaching patients, as well as performing venipuncture for laboratory samples, are more suited to the educational scope of licensed nurses. If you leave this page, your progress will be lost.

If iodide is part of treatment, mix with milk juice, or water to prevent GI distress and administer through hypothyroidism nursing dx for dehydration straw to prevent tooth discoloration. Avoid topics that irritate or upset patient. Question 5 Explanation:. Note history of asthma and bronchoconstrictive disease, sinus bradycardia and heart blocks, advanced HF, or current pregnancy. Clinical Endocrinology, 88 1— Monitor temperature; provide cool environment, limit bed linens or clothes, administer tepid sponge baths.

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Which nursing diagnosis takes highest priority for a female client with hyperthyroidism? Marianne is also a mom of a toddler going through the terrible twos and her free time is spent on reading books! It also may be effective in reducing calcium level if neuromuscular function is impaired.

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  • Which of the following nursing assessment is the most important in the patient with hyperthyroidism and risk for thyrotoxic crisis or thyroid storm?

  • Indwelling catheter tray.

Antithyroid drugs Rationale: May decrease signs and symptoms or hypothyroidism nursing dx for dehydration worsening of the condition. Rationale: To detect leukopenia, thrombocytopenia, and agranulocytosis if the patient is taking propylthiouracil and methimazole. Educate the patient or guardian on how to fill out a fluid balance chart at bedside. Untreated hyperthyroidism during pregnancy may result in all of the following except:. An elevated systolic blood pressure. Rationale: Antithyroid medications can affect or be affected by numerous other medications, requiring monitoring of medication levels, side effects, and interactions.

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Explain dfhydration side effects of the treatment. Beta- adrenergic agents may be used to control hypothyroidism nursing dx for dehydration sympathetic nervous system, effects that occur in hyperthyroidism; for example, propranolol is used for nervousness, tachycardia, tremor, anxiety, and heat intolerance. Patients may also describe discomfort when wearing clothing or jewelry that is close fitting at the neckline as well as generalized muscular weakness and increased fatigue. Which assessment finding supports this diagnosis? Question 5.

Thank you in advance! Stress necessity of continued medical follow-up. Note urine specific gravity. Provide safety measures.

Returns the hupothyroidism to the euthyroid normal state; inhibits use of iodine by thyroid gland; blocks oxidation of iodine and inhibits thyroid hormone synthesis. Have the patient report any signs and symptoms of thyrotoxicosis immediately: rapid heart rate, palpitations, perspiration, shakiness, tremors, difficulty breathing, nausea, vomiting. Already have an account? Increased and rapid heart rate.

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Next Fatigue. Nursing Interventions Observe behavior indicative of level of anxiety. Finding help online is nearly impossible.

Note: If patient has edema, suggest a low-sodium diet. Thyroid hormone may be administered to put the thyroid to rest. Pulse rate of 58 bpm. Maintenance of blood sugar. Calcium chloride. Moisten conjunctiva often with isotonic eye drops.

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As euthyroid state is achieved, stamina and activity level will increase. If severe bradycardia develops, atropine may nusing required. Administer iodine preparations that inhibit the release of thyroid hormone as prescribed. Desired Outcomes Maintain usual reality orientation. Deficient Knowledge 3. Provide a high-calorie diet. Learn how your comment data is processed.

Rationale: Increased motility of GI tract may result in diarrhea and impair absorption of needed nutrients. Decrease the total basal metabolic rate. Once you are finished, click the button below. Question 7 Explanation:. Rationale: May be hypervigilant, restless, extremely sensitive, or crying or may develop frank psychosis. Focus: Prioritization. Irradiate the gland in an attempt to stimulate hormonal secretion.

To replenish the fluids lost from polyuria and to promote better blood circulation around the body. Hypothyroidism slows the action of the digestive tract causing constipation. Question 8 Explanation:.

May be done to achieve rapid depletion of extrathyroidal hormone pool in a desperately ill hypothyroidism nursing dx for dehydration comatose patient. Administer medications as indicated: Methylcellulose drops Rationale: Lubricates the eyes, reducing risk of lesion formation. Avoid topics that irritate or upset patient. Regulation of energy production. Decrease the size and vascularity of the thyroid gland. If this activity does not load, try refreshing your browser.

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Risk for Ineffective Therapeutic Regimen Management —may be related to insufficient knowledge of condition, treatment regimen, pharmacologic therapy, eye care, dietary dehydration, nufsing signs and symptoms of complication. Note development of tachypnea, dyspnea, pallor, and cyanosis. The autoimmune form of hyperthyroidism, Graves disease, is caused by mutations in several genes and follows either an autosomal recessive or x-linked inheritance pattern. Desired Outcomes Maintain moist eye membranes, free of ulcerations. Which assessment finding supports this diagnosis? An experienced nursing assistant should have been taught how to monitor the apical pulse.

Purchase a subscription. Increased thirst and increased urination are signs of nhrsing toxicity. Question for Explanation:. Rationale: Rapid fluid replacement may be necessary to improve circulating volume but must be balanced against signs of cardiac failure and need for inotropic support. Use simple words. The presence or potential recurrence of these conditions affect the choice of therapy. Pulmonary infection is the most frequent precipitating factor of crisis.

Remember that excessive palpation of the thyroid gland can precipitate thyroid storm; therefore, palpate gently and only when necessary. Premature birth and miscarriage. Finding help online is nearly impossible.

Question 3. Sedative, barbiturates. Often, patient report intolerance to heat, excessive perspiration, and increased appetite accompanied by weight loss. Pad side rails, close supervision, applying soft restraints as last resorts as necessary. Reinforce expectation that emotional control should return as drug therapy progresses.

Provide supplemental O 2 as indicated. Instruct patient in extraocular muscle exercises if appropriate. Premature birth and miscarriage. Gulanick, M. Rationale: Understanding that the behavior is physically based may enhance coping with current situation and encourage SO to respond positively and provide support for patient. Provide support as needed.

Encourage patient to restrict activity and rest in bed as much as possible. Chest x-rays Rationale: Cardiac enlargement may occur in response to increased circulatory demands. Low birthweight. Blocks thyroid hormone synthesis and inhibits peripheral conversion of T 4 to T 3.

Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. Impaired Comfort —may be for dehydration to heat intolerance and profuse diaphoresis. If iodide is part of treatment, mix with milk juice, or water to prevent GI distress and administer through a straw to prevent tooth discoloration. Rationale: Subtotal thyroidectomy removal of five-sixths of the gland may be treatment of choice for hyperthyroidism once euthyroid state is achieved. Avoid foods that increase peristalsis and fluids that cause diarrhea. Rationale: Provides adequate nutrients to support hypermetabolic state. Also, people preparing or administering the dose must have their own thyroid burden measured, and contaminated supplies and equipment must be monitored and stored until decayed.

Monitoring and recording vital signs are within the education scope of nursing assistants. Nursing Interventions Monitor BP hypothyroidism nursing dx for dehydration, sitting, and standing, if able. Administer medications as indicated: Methylcellulose drops Rationale: Lubricates the eyes, reducing risk of lesion formation. Learn about the nursing care management of patients with hypothyroidism in this nursing study guide. Elevation reflects overproduction of thyroid hormones. Rationale: Determines extent of interference with sensory processing Note changes in behavior.

  • Increased and rapid heart rate.

  • Prepare the client for thyroidectomy if prescribed.

  • Present reality concisely and briefly without challenging illogical thinking.

Provide for diversional activities that are calming, e. Decrease the size and vascularity of the thyroid gland. Question 8 Explanation:. Rationale: Rapid dehydration can occur, which reduces circulating volume and compromises cardiac output.

Weigh daily. Reinforce expectation dd emotional control should return as drug therapy progresses. Vote count: Rationale: Aids in keeping caloric intake high enough to keep up with rapid expenditure of calories caused by hypermetabolic state. Elevation of thyroid hormones decreased TSH secretion by negative feedback. Monitor temperature; provide cool environment, limit bed linens or clothes, administer tepid sponge baths.

Indwelling catheter tray. Hypothjroidism Increased number of [beta]-adrenergic receptor sites, coupled with effects of excess thyroid hormones, produces clinical manifestations of catecholamine excess even when normal levels of norepinephrine or epinephrine exist. This blog illustrates in great depth the tips that the nursing-professional needs to do so that the patients suffering from the condition get the best care. READ: What are the legal issues of e commerce?

Deficient Knowledge 8. We're glad you have enjoyed Nursing Central! Review need for nutritious diet and periodic review of nutrient needs. This therapy is contraindicated during pregnancy. In some facilities, an experienced nursing assistant may perform venipuncture, but only after special training. The most commonly used medications are propylthiouracil Propacil, PTU and methimazole Tapazole until patient is euthyroid. Question 4.

Table of Contents. Back To Top. Review need for nutritious diet and periodic review of nutrient needs. Stress need for repeated measurement of serum T4 levels. Educate the patient or guardian on how to fill out a fluid balance chart at bedside.

Nursing Care Plan

Monitor ECG, noting rate and dehydratiom. Nursing Interventions Encourage use of dark glasses when awake and taping the eyelids shut during sleep as needed. Please visit using a browser with javascript enabled. A problem-focused diagnosis also known as actual diagnosis is a client problem that is present at the time of the nursing assessment.

Risk for Ineffective Therapeutic Regimen Management —may be related to insufficient knowledge dehydrstion dehydration, treatment regimen, pharmacologic therapy, eye care, dietary management, and signs and symptoms of complication. The treatment may also be slightly different for children and adults. The clinical condition that results from the abnormally low secretion of the thyroxin hormone is referred to as hypothyroidism. Due to excess fluid volume and low basal metabolic rate, clients with hypothyroidism experience weight gain and difficulty losing extra weight. Question Bu y on Amazon.

Hypothyroidism is a hypothyroidism nursing dx for dehydration classified by an under-active thyroid gland- when the thyroid does not produce enough hormones. The medical information on this nursng is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. Desired Outcomes Maintain adequate cardiac output for tissue needs as evidenced by stable vital signs, palpable peripheral pulses, good capillary refill, usual mentation, and absence of dysrhythmias. Note widened pulse pressure. Ignatavicius, D. Intake and output.

Corticosteroids: dexamethasone Decadron. Dysrhythmias often occur and may compromise cardiac output. Elevated Thyroxine T4 radioimmunoassay normal values: 5.

Stay with dehydrration, maintaining calm manner. Note widened pulse pressure. Rationale: Patient who has been treated for hyperthyroidism needs to be aware of possible for dehydration of hypothyroidism, which can occur immediately after treatment or as long as 5 yr later. Deficient Knowledge 3. Rationale: Severity of condition, cause, age, and concurrent complications determine course of treatment. In the presence of thyrotoxic paralysis primarily occurring in Asian menclose monitoring and cautious replacement are indicated because rebound hyperkalemia can occur as condition abates releasing potassium from the cells. Encourage patient to restrict activity and rest in bed as much as possible.

Diarrhea —may be related to increased peristalsis secondary to excessive metabolic rate. Decreased oral temperature. Question 7. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess.

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Pharmacologic Highlights Propylthiouracil PTU an antithyroid agent is given to return the patient to the euthyroid normal state. Provide a hypothermia blanket as indicated. Hyperthyroidism [Internet]. Note history of asthma and bronchoconstrictive disease, sinus bradycardia and heart blocks, advanced HF, or current pregnancy. Thyroid hormone antagonists: propylthiouracil PTUmethimazole Tapazole.

Maintenance of blood sugar. Administer for dehydration as indicated: Methylcellulose drops Rationale: Lubricates the eyes, reducing risk of lesion formation. Premature birth and miscarriage. Table of Contents. Nursing Diagnosis Anxiety [specify level] May be related to Physiological factors: hypermetabolic state CNS stimulationpseudo catecholamine effect of thyroid hormones Possibly evidenced by Increased feelings of apprehension, shakiness, loss of control, panic Changes in cognition, distortion of environmental stimuli Extraneous movements, restlessness, tremors Desired Outcomes Appear relaxed. If patients are taking propylthiouracil or methimazole, encourage them to take the medications with meals to limit gastric irritation. Get Results.

Which test result would confirm nursinng diagnosis? Consult with dietitian to provide diet high in calories, protein, carbohydrates, and vitamins. Question 1. Administer transfusions; assist with plasmapheresis, hemoperfusion, dialysis. The anxiety is often heightened by symptoms of the disease such as angina and the sense of loss of control over one's body.

Question 4. Sputum culture Rationale: Hypothyroiism for dehydration is most frequent precipitating factor of crisis. A collaborative problem is a patient problem that requires the nurse—with the physician and other health care providers—to monitor, plan, and implement patient care. Provide safety measures. Hyperthyroidism Nursing Care Plan Nursing Diagnosis Risk for Decreased Cardiac Output Risk factors may include Uncontrolled hyperthyroidism, hypermetabolic state Increasing cardiac workload Changes in venous return and systemic vascular resistance Alterations in rate, rhythm, conduction Possibly evidenced by Not applicable. Indwelling catheter tray.

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Regulation of energy production. Dysrhythmias often occur and may compromise cardiac output. Decrease the size and vascularity of the thyroid gland.

For dehydration a drug history to determine the use of iodides oral contraceptives, contrast media that may cause falsely elevated serum thyroid hormone levels. Nursing Central Redesignnursijg. Nursing Interventions Monitor daily food intake. They used a nationwide population-based study in Finland with 5, patients 30 years of age and older, and they followed the patients for a median of 13 years. Below-normal levels of serum triiodothyronine T3 and serum thyroxine T4 as detected by radioimmunoassay. Rationale: Eyelids may need to be sutured shut temporarily to protect the corneas until edema resolves rare or increasing space within sinus cavity and adjusting musculature may return eye to a more normal position.

Rationale: Antithyroid medication either as primary therapy or in preparation for thyroidectomy requires adherence to a medical regimen over an extended period to inhibit hormone production. The cardiac problems associated with hyperthyroidism include tachycardia, increased systolic blood pressure, and decreased diastolic blood pressure. It is responsible for maintaining renal and cardiac functions as well as electrolyte balance. Note development of tachypnea, dyspnea, pallor, and cyanosis.

Pharmacotherapy The objective of pharmacotherapy is to inhibit hypothyroidlsm synthesis or release and reduce the amount of thyroid tissue. Describe and explain procedures, surrounding environment, or sounds that may be heard by patient. Prepare the client for thyroidectomy if prescribed. Provide information about signs and symptoms of hypothyroidism and the need for continuing follow-up care.

Describe for dehydration explain procedures, surrounding environment, or sounds that may be heard by dehydrayion. Though fluid volume status, neurological status and pain are all important assessment, the immediate priority for postoperative is the airway management. Rationale: Helps counteract effects of increased metabolism. Rationale: Patient who has been treated for hyperthyroidism needs to be aware of possible development of hypothyroidism, which can occur immediately after treatment or as long as 5 yr later. Due to excess fluid volume and low basal metabolic rate, clients with hypothyroidism experience weight gain and difficulty losing extra weight. Nursing Notes. The client complains of ringing in the ears.

Risk for Decreased Cardiac Output 2. Have the patient report any signs and symptoms of thyrotoxicosis immediately: rapid heart rate, palpitations, perspiration, shakiness, tremors, difficulty breathing, nausea, vomiting. Reassure the patient's family that the patient's mood swings, nervousness, or anxiety will diminish as treatment continues. If iodide is part of treatment, mix with milk juice, or water to prevent GI distress and administer through a straw to prevent tooth discoloration. Thyrotoxicosis has several different pathophysiological causes, including autoimmune disease, functioning thyroid adenoma, and infection. Prepare for surgery. Body image disturbance related to weight gain and edema.

  • If severe bradycardia develops, atropine may be required.

  • Rationale: Necessary for monitoring effectiveness of therapy and prevention of potentially fatal complications.

  • Contact Support If you need further assistance, please contact Support. Provide a cool and quiet environment.

  • Describe and explain procedures, surrounding environment, or sounds that may be heard by patient. Which change in vital signs would you instruct a nursing assistant to report immediately for a patient with hyperthyroidism?

Rationale: Helps counteract effects of increased metabolism. Encourage patient to restrict activity and rest in bed as much as possible. These conditions may result in a negative nitrogen balance, increased protein synthesis and breakdown, decreased glucose tolerance, and fat mobilization and depletion. We're glad you have enjoyed Nursing Central!

Nurwing the letter of the correct answer. Complaints of abdominal cramping and frequent for dehydration movements are customary. Weigh daily. Administer medications as indicated: Thyroid hormone antagonists: propylthiouracil PTUmethimazole Tapazole Rationale: May be definitive treatment or used to prepare patient for surgery; but effect is slow and so may not relieve thyroid storm. Adrenocorticotropic hormone ACTHprednisone Rationale: Given to decrease rapidly progressive and marked inflammation. Provide hypothermia blanket as indicated. Monitoring and recording vital signs are within the education scope of nursing assistants.

Encourage chair rest or bedrest. Cardiac enlargement may occur in response to increased circulatory demands. Activity Intolerance —may be related to fatigue, exhaustion secondary to excessive metabolic rate. Instruct patient in extraocular muscle exercises if appropriate.

  • Rationale: May decrease nervous energy, promoting relaxation. Decrease systolic blood pressure.

  • Assess level of anxiety.

  • Though fluid volume status, neurological status and pain are all important assessment, the immediate priority for postoperative is the airway management.

  • Hyperthyroidism Nursing Care Plan and Management. Assess fluid volume status.

Widened pulse pressure reflects compensatory increase in stroke volume and decreased systemic vascular resistance SVR. Document dysrhythmias. Periorbital edema, dehydratio, and hoarse voice are all characteristics of patients with hypothyroidism. Report anxiety reduced to a manageable level. Help us spread the word! Thyroid storm may be precipitated by a physiological stressor such as diabetic ketoacidosis, infection, trauma, or surgery. After subtotal thyroidectomy, swelling of the surgical site the tracheal area may obstruct the airway.

Provide a hypothermia blanket as indicated. Morning Afternoon. Question 7 Explanation:. Instruct patient in extraocular muscle exercises if appropriate. Rationale: Increased number of [beta]-adrenergic receptor sites, coupled with effects of excess thyroid hormones, produces clinical manifestations of catecholamine excess even when normal levels of norepinephrine or epinephrine exist.

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Explain possible side effects of the treatment. Avoid topics that irritate or upset patient. Stress need for repeated measurement of serum T4 levels.

Administer medications as indicated: Thyroid hormone antagonists: propylthiouracil PTUmethimazole Tapazole For dehydration May be definitive treatment or used to prepare patient for surgery; but effect is slow and so may not relieve thyroid storm. Rationale: Allows for use of nervous energy in a constructive manner and may reduce anxiety. If the patient is taking an iodine solution, mix it with milk or juice to limit gastric irritation and have the patient use a straw to limit the risk of teeth discoloration. Rationale: Promotes continual orientation cues to assist patient in maintaining sense of normalcy.

Rationale: Improves circulation and maintains mobility of nursign eyelids. Refer to support systems as needed: counseling, social services, pastoral care. Rationale: Prevents undue fatigue; reduces metabolic demands. Hypotension and tachycardia may result from hypovolemia, or low levels of intravascular volume. Block the formation of thyroxine by the thyroid gland. Nursing diagnoses handbook: An evidence-based guide to planning care.

Cardiac monitor and oxygen tank. Verbalize understanding of therapeutic needs. If severe hypothyroidism occurs in an infant, it is called cretinism. Rationale: Increased motility of GI tract may result in diarrhea and impair absorption of needed nutrients.

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