Endocrine system Medsurg 1

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Endocrine system Medsurg 1Versión en línea Medsurg 1 endocrine sys por may 1 Negative feedback 2 Positive feedback 3 Hypothyroidism is caused by 4 Hyperthyroidism is caused by 5 Symptoms of hypothyroidism 6 Symptoms of hyperthyroidism 7 Managing Hypothyroidism 8 Managing Hyperthyroidism 9 Complications to look out for: Hypothyroidism 10 Care for Myxedema pt. 11 Complications to look out for: Hyperthyroidism 12 Sx of thyroid storm: DFACT 13 Thyroid storm Management 14 Edu for hypothyroid pt. 15 Edu for hyperthyroidism pt 16 Post op care thyroidectomy 17 causes of hypoparathyroidism 18 Causes of Hyperparathyroidism 19 Sx of hypoparathyroidism 20 Sx of hyperparathyroidism 21 Managing hypoparathyroid 22 Managing Hyperparathyroid 23 Complications of hyperparathyroidism 24 Complications of hypoparathyroidism 25 Hypercalcemic crisis aims for homeostasis production stops when concentration increases production increases when concentration increases ex: pancreas releasing insulin Aims at a goal like birth increased concentration = increased production ex: oxytocin in child birth Autoimmune: Hashimoto (most common cause) Common-Thyroid Hypertrophy, fixed by thyroidectomy iron deficiency lithium, and other meds taken to fix hyperthyroidism radiation to head and neck damage, atrophy to thyroid Autoimmune: Graves thyrotoxicosis (excessive T3/T4) Thyroiditis Goiter toxic adenoma decreased metabolism, weight gain Fatigue, lethargy, slow speech cold intolerance constipation gastric atrophy thick dry skin, increased hand/feet/tongue size expressionless mask like face increased metabolism, weight loss Anxiety, restless, irritable, fine hand tremors Tachycardia, palpitation Heat intolerance Thin skin, finger clubbing oligomenorrhea Levothyroxine Give meds first thing in the morning on empty stomach prevent interaction with adrenergics, warfarin, insulin, estrogen look for sx of cardiac issue; meds that inc. metabolism inc. ACS risk careful with sedatives; add to slowed metabolism, resp depression Combo of antithyroid,radioactive iodine, surgery NO radioactive iodine for preg/lact/planning to concieve Watch for thyroid storm Cardiac dysfunction during treatment Myxedema : severe hypothyroidism Respiratory weakness Dementia Avoid cold until pt stable edu on menstrual change avoiding infection in PRIORITY edu on impact on ADL, psych recurrent hyperthyroidism permanent hyperthyroidism surgical complications nutrition imbalance delirium fever agitation coma tachycardia >130 cooling blanket, ice pack, cool room humidified O2 IV fluid with dextrose Methimazole (antithyroid) betablocker Hydrocortisone (tx. shock, renal issue) IODINE ( to dec T4 output) Meds are lifelong meds, but sx go away in time pt needs follow up tests take meds first thing in the morning on empty stomach change diet to lose weight and dec. constipation eat high protein, calorie you're high metabolism avoid coffee, soda, tea, ETOH eat small frequent foods avoid stress and smoking Take rests Monitor for dyspnea, hematoma, laryngeal nerve injury Look for bleeding assess surgical site Pt is semifowler, humidifier, reduce talking Give cold liquid, soft food abnormal parathyroid development destroyed parathyroids vit D deficiency parathormone overproduction bone decalcification renal calculi (Ca) phosphate retention caused by kidney issue Tetany (CVOSTEC, TROUSSEAU) numbness, tingling, cramps Bronchospasm anxiety, depression, irritability 50% pts dont have sx. apathy fatigue muscle weak N and V constipation HTN, dysrythmia give IV calcium glutonate to keep Ca (9-10) Give vit D Thiazides PRN Avoid milk, egg yolk to dec Phosphorus eat high Ca foods and take supplements Surgical removal of parathyroid >2L water daiy supplement Ca, and inc it in diet keep pt. moving, weight bearing exercise look for tetany avoid thiazides follow up labs and edu pt on sx of inc. Ca HyperCalcemic crisis psychosis as Ca reaches brain kidney stones/damage muscle pain bone fracture/ demineralization Post op tetany, seizures, resp distress arrhythmia fixed by IV Ca glutonate pushed SLOWLY Ca> 13 result in neuro, cardio, kidney issue fatal tx: Rehydration via IV isotonic emergency tx: Calcitonin+Corticosteroid push restrict Ca intake

Endocrine system Medsurg 1Versión en línea

Medsurg 1 endocrine sys

por may

Negative feedback

Positive feedback

Hypothyroidism is caused by

Hyperthyroidism is caused by

Symptoms of hypothyroidism

Symptoms of hyperthyroidism

Managing Hypothyroidism

Managing Hyperthyroidism

Complications to look out for: Hypothyroidism

Care for Myxedema pt.

Complications to look out for: Hyperthyroidism

Sx of thyroid storm: DFACT

Thyroid storm Management

Edu for hypothyroid pt.

Edu for hyperthyroidism pt

Post op care thyroidectomy

causes of hypoparathyroidism

Causes of Hyperparathyroidism

Sx of hypoparathyroidism

Sx of hyperparathyroidism

Managing hypoparathyroid

Managing Hyperparathyroid

Complications of hyperparathyroidism

Complications of hypoparathyroidism

Hypercalcemic crisis

aims for homeostasis

production stops when concentration increases

production increases when concentration increases

ex: pancreas releasing insulin

Aims at a goal like birth

increased concentration = increased production

ex: oxytocin in child birth

Autoimmune: Hashimoto (most common cause)

Common-Thyroid Hypertrophy, fixed by thyroidectomy

iron deficiency

lithium, and other meds taken to fix hyperthyroidism

radiation to head and neck

damage, atrophy to thyroid

Autoimmune: Graves

thyrotoxicosis (excessive T3/T4)

Thyroiditis

Goiter

toxic adenoma

decreased metabolism, weight gain

Fatigue, lethargy, slow speech

cold intolerance

constipation gastric atrophy

thick dry skin, increased hand/feet/tongue size

expressionless mask like face

increased metabolism, weight loss

Anxiety, restless, irritable, fine hand tremors

Tachycardia, palpitation

Heat intolerance

Thin skin, finger clubbing

oligomenorrhea

Levothyroxine

Give meds first thing in the morning on empty stomach

prevent interaction with adrenergics, warfarin, insulin, estrogen

look for sx of cardiac issue; meds that inc. metabolism inc. ACS risk

careful with sedatives; add to slowed metabolism, resp depression

Combo of antithyroid,radioactive iodine, surgery

NO radioactive iodine for preg/lact/planning to concieve

Watch for thyroid storm

Cardiac dysfunction during treatment

Myxedema : severe hypothyroidism

Respiratory weakness

Dementia

Avoid cold until pt stable

edu on menstrual change

avoiding infection in PRIORITY

edu on impact on ADL, psych

recurrent hyperthyroidism

permanent hyperthyroidism

surgical complications

nutrition imbalance

delirium

fever

agitation

coma

tachycardia >130

cooling blanket, ice pack, cool room

humidified O2

IV fluid with dextrose

Methimazole (antithyroid)

betablocker

Hydrocortisone (tx. shock, renal issue)

IODINE ( to dec T4 output)

Meds are lifelong meds, but sx go away in time

pt needs follow up tests

take meds first thing in the morning on empty stomach

change diet to lose weight and dec. constipation

eat high protein, calorie you're high metabolism

avoid coffee, soda, tea, ETOH

eat small frequent foods

avoid stress and smoking

Take rests

Monitor for dyspnea, hematoma, laryngeal nerve injury

Look for bleeding

assess surgical site

Pt is semifowler, humidifier, reduce talking

Give cold liquid, soft food

abnormal parathyroid development

destroyed parathyroids

vit D deficiency

parathormone overproduction

bone decalcification

renal calculi (Ca)

phosphate retention caused by kidney issue

Tetany (CVOSTEC, TROUSSEAU)

numbness, tingling, cramps

Bronchospasm

anxiety, depression, irritability

50% pts dont have sx.

apathy

fatigue

muscle weak

N and V

constipation

HTN, dysrythmia

give IV calcium glutonate to keep Ca (9-10)

Give vit D

Thiazides PRN

Avoid milk, egg yolk to dec Phosphorus

eat high Ca foods and take supplements

Surgical removal of parathyroid

>2L water daiy

supplement Ca, and inc it in diet

keep pt. moving, weight bearing exercise

look for tetany

avoid thiazides

follow up labs and edu pt on sx of inc. Ca

HyperCalcemic crisis

psychosis as Ca reaches brain

kidney stones/damage

muscle pain

bone fracture/ demineralization

Post op tetany, seizures, resp distress

arrhythmia fixed by IV Ca glutonate pushed SLOWLY

Ca> 13

result in neuro, cardio, kidney issue

fatal

tx: Rehydration via IV isotonic

emergency tx: Calcitonin+Corticosteroid push

restrict Ca intake

Endocrine system Medsurg 1

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