Professional 2 Exam 2

goal to get a patients thyroid to

"euthyroid"

hypertension is known as the

"silent killer"

maintain blood pressure of

140/90

maintain blood pressure of ___________ for older adults

150/90

how do you know if someone has hypertension

2 or more readings

•Deficiency of parathormone •Hypocalcemia and Hyperphosphatemia • •Result of OR

Hypoparathryoidism

A client newly diagnosed with hypothyroidism asks the nurse how long it will be necessary to take the prescribed levothyroxine. What should the nurse tell the client? a. it will be necessary to take the medication for the rest of you life b. Since the medication is expensive, the health care provider will check your progress and the dose may be able to be reduced in a few months. c. if your thyroid responds to the medication, the medication can be gradually withdrawn in 1-2 years. d. the medication can be discontinued when your thyroid-stimulating hormone (TSH) is normal.

a

After undergoing a thyroidectomy , a client develops hypocalcemia and tetany. The nurse knows that this may be a result of what complication of the surgery? a. damage to the parathyroid glands b. damage to the recurrent laryngeal nerve c. hemorrhage d. airway edema

a

"supply and demand" when we can't get oxygen in the blood, the body is going to suffer

angina

will not effect the quantity of platelets, but will reduce platelet aggregation

aspirin

can mask hypoglycemia

beta blockers

The nurse is caring for a client with hypothyroidism. The client notes, "The provider mentioned that I would need to take medication for this condition. What medication will I be prescribed? a. metronidazole b. docusate sodium c. bethanechol d. levothyroxine

d

BLOOD URINE STIMULATION /SUPPRESSION

diagnostic tests for endocrine system

•The _____________________ system is linked with the nervous system and the immune system

endocrine

•Affects almost every cell, organ, and function of the body •Negative feedback mechanism •Hormones

endocrine system

prolong bleeding time

heparin

•elevated serum calcium • bone decalcification • renal calculi •apathy, fatigue, muscle weakness, psychological manifestations • nausea, vomiting, constipation •hypertension, cardiac dysrhythmias

hyperparathyroidism

most common chronic disease in the US, also very common worldwide

hypertension

exception for hypertension being on one reading

hypertensive emergency

extremely high blood pressure

hypertensive emergency

•Excessive output of thyroid hormone •Graves disease (most common cause) •Affects women 8X more

hyperthyroidism

If you have hypothyroidism how long will you have it for?

life

•Find Cause??? Radioactive 131I therapy •Medications •Surgery •Relapse: common •Disease or treatment may result in hypothyroidism

medical management of hyperthyroidism

one type of med

monotherapy

Give Levothyroxine:Synthroid,Levothroid at what time

morning

extreme hypothyroid state, someone that has hypothyroidism for so long,

myxedema

can cause headache, hypotension -sometimes can be put on in a patch form -as we try to help with circulation, sometimes patch is kept on during the day and then we take it off at night

nitrates

when should patient with angina seek help?

pain not relieved

____________________ regulates calcium and phosphorus balance

parathormone

•*Increased __________________ elevates blood calcium by increasing calcium absorption from the kidneys, intestines, and bone

parathormone

•4 glands on the posterior thyroid gland

parathyroid gland

•Parathormone lowers __________________ level

phosphorous

salt substitute is high in

potassium

-pressure off of the charts goal in getting patient down quickly with undiagnosed hypertension or where the patient just stops taking meds

prevent target organ damage

during a thyroid storm/crisis: individual's heart rate, blood pressure, and body temperature _________________ to dangerous levels

raise

what position should a patient be in when taking nitroglycerin

sitting down

the patient knows that if they do an activity they are going to have angina -they can take preventative measures

stable angina

-delirium -is a life-threatening health condition that is associated with untreated or undertreated hyperthyroidism.

thyroid storm

•Nervousness •Palpitations, rapid pulse •Poor heat toleration, tremors •Skin is flushed, salmon color, warm, soft, moist ( elders' skin may be dry and pruritic) •Exophthalmos •Increased appetite and dietary intake •Weight loss •Elevated systolic BP ** may progress to cardiac dysrhythmias and heart failure

thyrotoxicosis