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 c. if your thyroid responds to the medication, the medication can be gradually withdrawn in 1-2 years.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
