Term
| TSH is elevated in ________ & decreased in ________ |
|
Definition
| hypothyroidism , hyperthroidism |
|
|
Term
| used to differentiate between hyper and hypothyroidism |
|
Definition
|
|
Term
| decreased T3 and T4 indicates ____ |
|
Definition
|
|
Term
| T4 is elevated in ______ & decreased in ______ |
|
Definition
| hyperthyroidism, hypothyroidism |
|
|
Term
| diagnoses hyperthroidism if T4 levels are normal |
|
Definition
|
|
Term
| best indicator of total thyroid function |
|
Definition
|
|
Term
| three medications that may cause hypothyroidism |
|
Definition
| lithium, phenylbutazone, para-aminosalicylic acid |
|
|
Term
| form of synthetic thyroid hormone, too much and cause hyperthyroidism |
|
Definition
|
|
Term
| teaching for levothyroxine (synthroid) |
|
Definition
take 1 hr before meals
don't eat a lot of soy
chech pulse before giving- can't be over 100
don't give too much to old people
|
|
|
Term
works by blocking the synthesis and secretion of thyroid hormone.
-slow HR, fatigue, drowsiness, headache, neuritis, N/V, diarrhea, myleosuppression
-give measured dose over 24h |
|
Definition
|
|
Term
Works by blocking the synthesis and secretion of thyroid hormone
-monitor vitals, weekly weights, observe for sore throat, fever, headache, and skin ulcers |
|
Definition
|
|
Term
Stops the release of thyroid hormone already in the gland by decreasing the vascularity of the gland
-Also given prior to surgery to prevent thyroid storm |
|
Definition
| Saturated solution of potassium iodided (SSKI) |
|
|
Term
| metallic taste, stomatitis, salivation, coryza (head cold), hyperthyroid adenoma, irregular heart rate, mental confusion |
|
Definition
|
|
Term
| signs of hypothyroidism may necessitate discontinuation |
|
Definition
|
|
Term
used to decrease the potential for thyroid storm
-SE: signs of hypothyroidism |
|
Definition
Iodine product, strong iodine
(Lugol's solution) |
|
|
Term
-Take this with fruit juice high in vitamin C to increase the absorption and mask the taste.
-bitter tasting med use a straw |
|
Definition
| teaching for taking iodine product |
|
|
Term
| beta blocker given to hyperthyroid pt to slow the HR and decrease the BP |
|
Definition
|
|
Term
| nursing implications for beta blockers |
|
Definition
monitor pulse rate, CBC, CHF
- take with food to decrease GI upset |
|
|
Term
- used to treat iodide deficiency that can lead to goiter
- used to prevent tyroid damage after exposure to radioactivity |
|
Definition
| KI tablets, solution, and syrup |
|
|
Term
|
Definition
| take after meals to increase absorption |
|
|
Term
| Occasionally used in SEVERELY hyperthyroid subjects. It has also been used to reduce the severity of rebound hyperthyroidism and enhance the effectiveness of radioactive iodine |
|
Definition
| Lithium carbonate (lithobid, carbolith, lithizine) |
|
|
Term
| dizziness, lethargy, drowsiness, fatigue, slurred speech, psychomotor retardation, incontinence, EEG changes, arrhythmias, hypotension, impaired vision, thyroid enlargement, dry mouth, abdominal pain, pruitis, thinning hair |
|
Definition
|
|
Term
| -Observe for hypothyroidism. Instruct pt to drink 8-12 glasses of fluid per day (2-3 L). Monitor serum levels weekly and then q3-6 months once stable. |
|
Definition
|
|
Term
destroys overactive thyroid tissue
-highly successful |
|
Definition
|
|
Term
| pts on this for hyperthyroidism will have few problems, maybe a sore throat |
|
Definition
|
|
Term
| for hypoparathyroidism you can give ______ |
|
Definition
|
|
Term
| ______ is a phosphate binder |
|
Definition
|
|
