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19 Cards in this Set
- Front
- Back
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What role do thyroid hormones play in normal body functioning?
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Regulates metabolic rate of all cells and processes of cell growth and tissue differentiation. Regulates calcium and phosphorous blood levels, decreases serum Ca+2 levels
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What ophthalmic changes are expected in hyperthyroidism?
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exophtalmous - protrusion of eyes
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What is the function of PTU and Tapazole therapy with regards to hyperthyroidism?
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block or inhibit function of T3 and T4, takes 2-3 weeks to take affect
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What is the function of beta blockers with regards to hyperthyroidism?
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protect cardiac function from tachycradia with a pt need to teach how to take pulse
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What is the function of RAU therapy and what patient teaching is needed?
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fasting is not required, don't take supplemental iodine several weeks prior to the test, thyroid med interfere with test results, directly, uptake by the thyroid is measured at different intervals
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What nursing interventions are involved in the client post thyroidectomy?
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check vitals, check incision and for drainage behind the neck, assess airway, asses laryngeal nerve, cardiac ability, assess for thyroid storm
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What is Strider's?
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can get airway in, but not out, call a code
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How do you test the laryngeal nerve?
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can the patient talk
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What are the S&S of a thyroid storm?
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tachycardia, increase blood pressure, increase HR, call a code
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What is Trousseau's and Chvostek's sign used to detect?
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hypocalcemia
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What should the range of Ca+2 be?
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8-10
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What is Trousseasu's sign?
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BP cuff on arm, tap wrist and thumb abducts
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What is Chvostek's sign?
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tap 5th cranial nerve and if they twitch they have hypoglycemia
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What is the relationship between hypocalcemia and thyroidectomy?
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Calcitonin monitors serum Ca+2 no thyroid --> no calcitonin Ca+2 comes out of bone increasing pathological fractures
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What should the nurse do if the pt is found to be having a thyroid storm?
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call code, supportive therapy for respiratory, reduce fever, fluid replacement, help with elimination
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If the patient has low T3 and T4 and a high TSH what disease do they have?
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hypothyroidism
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If the patient has high T3 and T4 and a high TSH what disease do they have?
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Non-grave's hyperthyroidism
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If the patient has high T3 and T4 and a low TSH, what disease do they have?
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Grave's hyperthyroidism
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What are the clinical manifestations of myxedema?
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get thick tongues, hirutism, deep voice, don't take thyroid medicine and go into coma
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