*NURSING > NCLEX > Lecture 7 Endocrine overview, children’s/play activities, Laminectomy Thyroid GlandMark Klimek Aud (All)
Lecture 7 Endocrine overview, children’s/play activities, Laminectomy Thyroid GlandMark Klimek Audio Lectures Lecture 7 Endocrine overview, children’s/play activities, Laminectomy Thyroid... Gland - Thyroid Gland: - The thyroid gland controls the body’s metabolism. - When you see thyroid, think metabolism - Hyperthyroidism = Hypermetabolism - Hypothyroidism = Hypometabolism Hyperthyroidism (Graves disease) - Hyperthyroidism: - Think high (“hyper”) metabolism. - Having a high metabolic rate causes all body systems to work at an increased rate. - Graves disease: - Another name for hyperthyroidism is Graves disease. - Think, “your going to run yourself into the grave” - Signs and symptoms of hyperthyroidism: - Weight loss (increased metabolic rate) - Increased heart rate and blood pressure - Hyperactive - Heat intolerance (already have increased temp, cant stand extra heat) - Cold tolerance (since they are run an increased temp, can tolerate cold) - Exophthalmos (bulging eyes) - Treatment of hyperthyroidism: - Radioactive Iodine treatment: - For the next 24 hours after Radioactive Iodine treatment the patient needs to be in a private room, by themselves. No visitation - After the 24-hour mark the patient’s urine is still radioactive. They should flush three times after urination. If their urine is spilled the HAZMAT team need clean the entire room. - PTU (Propylthiuracil) - PTU, think “Puts Thyroid Under” - Primarily used in cancer. All cancer drugs are immunosuppressant’s. - Thyroidectomy is the most common treatment of hyperthyroidism: - Removing part of the thyroid, called Partial/subtotal Thyroidectomy - Subtotal thyroidectomy patients may be on thyroid hormone replacement for a little while until the remaining thyroid resumes normal function. - Parathyroids are left in tact so there is no risk of calcium imbalances. - Risk for thyroid storm. - Priorities after subtotal thyroidectomy: - First 12 hours first priority is the patient’s airway and hemorrhaging - 12-48 hours after the second biggest risk is thyroid storm - 48 hours after they are at risk of infection. (first, after 72 hr) - Removing the complete thyroid, called Complete/total Thyroidectomy - Total thyroidectomy’s need life long hormone replacement therapy (thyroxin, synthroid) - Because the total thyroid is removed the parathyroids are also removed and the patient is at risk of calcium imbalances (lecture 6). - No risk of thyroid storm. - Priorities after total thyroidectomy: - Within 12 hours first priority is the patient’s airway and hemorrhaging - 12-48 hours after the second biggest risk is tetany from low calcium levels - 48 hours after they are at risk of infection (first, after 72 hr) - Thyroid storm: A life-threatening condition that is caused by a hyper-release of thyroid hormones, which causes 4 serious complications: - Extremely high temperatures: 40oC and above - Extremely high blood pressure: 210/180 (ballpark) - Extreme tachycardia: 180 (ballpark) - Psychotic delirium - This is a medical emergency. Patients are at risk of brain damage and death from frying their brain due to increased temp, and brain hypoxia. - Treatment of Thyroid storm: - Treatment of thyroid storm is aimed at getting the temperature down and getting the oxygen levels up. - Surround them with ice (second) - Getting them under a cooling blanket (third, and best) - Give oxygen by mask at 10 liters (first) - Two nurses monitoring patient continuously - This is a self-limiting condition. No medications are given. The goal of the treatment is to spare the patients brain until the thyroid hormones are out of the patients system. Hypothyroidism (Myxedema) - Hypothyroidism: - Think high (“hypo”) metabolism. - Having a low metabolic rate causes all body systems to work at an decreased rate. - Myxedema: - Another name for severe hypothyroidism is myxedema - Signs and symptoms of hypothyroidism: - Weight gain (Metabolize at a slower rate) - Hypoactive - Flat affect - Heat tolerance (Usually run cold so heat is tolerated well) - Cold intolerance (Usually run cold so can tolerate addition coldness) - Low heart rate and blood pressure - Treatment of myxedema: - Thyroid hormone replacement therapy (thyroxin, synthroid) - Do not sedate these patients. They already have low metabolism and bodily functioning. Sedating them may cause them to enter a coma, called a myxedemic coma. - Patients with myxedema need to have their thyroid hormone replacement medication before any surgery, regardless of NPO orders. The Adrenal Cortex - Adrenal Cortex: - Disorders of the adrenal cortex begin with either the letter “A” or “C”. - Addison’s disease - Cushing’s disease - Conn’s disease - Cortical insufficiency - Adrenal insufficiency ::::::::::::::::::::::::::::::::::::::::CONTENT CONTINUED IN THE ATTACHMENT::::::::::::::::::::::::::::::::::::::::::::::::::: [Show More]
Last updated: 1 year ago
Preview 1 out of 9 pages
*NURSING> NCLEX > Lecture 7 Endocrine overview, children’s/play activities, Laminectomy Thyroid GlandMark Klimek Audio Lectures (All)
Lecture 7 Endocrine overview, children’s/play activities, Laminectomy Thyroid GlandMark Klimek Audio Lectures Lecture 7 Endocrine overview, children’s/play activities, Laminectomy Thyroid Gland - Thyr...
By Hannington , Uploaded: May 03, 2021
$8
*NURSING> NCLEX > Mark Klimek Blue Book. With over 400 Questions and Answers.Best Rated 2021. (All)
If the pH and the BiCarb are both in the same direction then it is? Metabolic If the pH is up it is? Alkalosis If the pH is down it is? Acidosis As the pH goes so goes my patient except for? P otassiu...
By Hannington , Uploaded: May 03, 2021
$10
*NURSING> NCLEX > NGN NCLEX QUESTIONS FOR 2024 EXAM (All)
New NGN Question Formats: Matrix multiple-choice Matrix multiple-response Multiple-response: Select all that apply Multiple-response: Select N Multiple-response: Grouping Drag-and-drop: Cloze Drag...
By Rixx Dennis , Uploaded: May 29, 2023
$50.5
*NURSING> NCLEX > Mark Klimek Blue Book. With over 400 Questions and Answers. (All)
If the pH and the BiCarb are both in the same direction then it is? Metabolic If the pH is up it is? Alkalosis If the pH is down it is? Acidosis As the pH goes so goes my patient except for? P...
By SuperSolutions© , Uploaded: Feb 02, 2021
$12.5
*NURSING> NCLEX > KEEP CALM and PASS NCLEX with MARK KLIMEK Review. Comprehensive Information and content for revisions and last minute reading. (All)
1. Acid-base balance/ventilators Rule of the B’s.. If the pH & the bicarb are both in the same direction = metabolic If they are in different directions = respiratory pH = 7.35-7.45 acidosis/alkal...
By SuperSolutions© , Uploaded: Oct 19, 2020
$9
*NURSING> NCLEX > NCLEX Exam NCLEX-PN TEST BANK. National Council Licensure Examination (NCLEX-PN) Version: 5.0. All 725 Questions and Answers. verified (All)
NCLEX Exam NCLEX-PN TEST BANK. National Council Licensure Examination (NCLEX-PN) Version: 5.0. Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of: Whic...
By EXCLLENTLEC , Uploaded: Jun 14, 2023
$14.5
*NURSING> NCLEX > NURSING Med Surg 2 SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX FOUR. Contains 1141 NCLEX Commonly Tested Q&A With Rationale. (All)
NURSING Med Surg 2 SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX FOUR 1) The nurse would anticipate that the health care provider (HCP) would add which medication to the regimen of the client receiving iso...
By SuperSolutions© , Uploaded: Nov 28, 2020
$25
*NURSING> NCLEX > [NGN] NEW GENERATION NCLEX RN EXAM 2023 POST TEST EXAM TOP RATED EXAM (GENUINE AND COMPLETE) (All)
NEW GENERATION NCLEX RN EXAM 2023 POST TEST EXAM TOP RATED EXAM (GENUINE AND COMPLETE)
By Rixx Dennis , Uploaded: Jul 12, 2023
$30.5
*NURSING> NCLEX > NGN NCLEX EXAM NCLEX-PN 2023 (All)
NGN NCLEX EXAM NCLEX-PN 2023
By Rixx Dennis , Uploaded: Aug 08, 2023
$30.5
NCLEX RN> NCLEX > Saunders 2022-2023 Clinical Judgment and Test-Taking Strategies by R.N. Silvestri, Linda Anne, Ph.D., R.N.; Silvestri, Angela E., Ph.D.; Gray, Eileen H. (All)
Welcome to Saunders Pyramid to Success! Saunders 2022-2023 Clinical Judgment and Test-Taking Strategies: Passing Nursing School and the NCLEX® Exam is one in a series of products designed to assist...
By TopRankProf , Uploaded: Jun 04, 2023
$22
Connected school, study & course
About the document
Uploaded On
Feb 02, 2021
Number of pages
9
Written in
This document has been written for:
Uploaded
Feb 02, 2021
Downloads
0
Views
373
Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students
Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.
Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality
Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.
In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.
We're available through e-mail, Twitter, Facebook, and live chat.
FAQ
Questions? Leave a message!
Copyright © Browsegrades · High quality services·