University:
University of Kentucky
Course:
NUR 101 | Academic Orientation and Introduction to Nursing
Academic year:

2023
Views:

138

Pages:

3
Author:

Joseph D.

Diagnosis: via lab tests & symptoms levels • main indicator for thyroid function 44 If 9 Primary wif FT4 to distinguish b/w primary + secondary - Auto Abs help determine etiology Goal of Therapy Causes: •Hashimoto's Thyroditis (most common cause) - qutimmune cause - Primary & Goiter • Congenital cretinism- Severe iodide deficiency in infants. that stunts both physical mental growth lodide defi ciency • Natural goitrogens Dyshormonogenisis-genetic or congenital abnormality - Primary wlout Goiter • iodopathic atrophy • iatrogenic destruction of thyroid • surgery •X-ray therapy RA iodine therapy • post-in Flammatory thyroditis. cretinism 1. Chronic autoimmune thyrodiks Characterized by gradual thyroid failure w/ or wlout goiter 95% of these pts will have tue Ab (TgAb TROAG) May have transient known as Hashitoxi cosis (inflammation autoimmune disease leading to the release OF TH in the bloodstream which 4 Duer time Drug-Induced: Myxedema ema coma results - medi emergency mortality rare requires aggressive treatment symptoms: hypothermia natremia hyponat Paranoia prychosis hypoglycemia altered sensorium Co2 retention Ileus Pregnancy: - Associated a poor maternal outcomes •stillbirths + c-section - infertility •miscarraige • pre-eclampsia - Associare o poor fetal outcomes • abnormal fetal growth • cognitive impairement AHCG levels a stimulation oF TRS = TSH levels DRUG OF CHOICE. Levothyroxine (T4) Occular symptoms: - Bulging of the eyes Inability to movelclose them Tearing + light sensitivity - Blurry - B vision+ inflammation Skin Changes: -Hyperpigmented eyelids Pretibial Myxedma - comucal polysaccharide deposit on skin Prevalence: -more common in women than men older patients - even more 50 in -symptoms not always present in older patients Diagnosis lab tests symptoms TSH is the main indicator LD NOT sufficient enough to diagnose primary hyperthyrodism MUST LOOK FT4 - Autoab are useful for determing etiology Press themad nor -RAIL is useful for determining endogenous hyperthyrodism vs. Other Causes of thyrotoxicosis Grave's Disease: Most common cause of Hyper hyrodism -60-90% of cases - more common in women (5:1-7:1) - thyroid Ab 060-70% have tue TSH Stimulation = release of T3+T4 due to IgG Ab o Need A titers of TSI for asymptomatic pts - often associated w other autoimmune disorders - Characteristic symtom: Exophthalmos Cbulging of eye balls) - PRAJU Thyroid storms life threatning emergency 2-87. develop in "decompensated thyrotoxicosis - often triggered by stressful events like infection, trauma, surgen - Clinical Presentation • acute onset • I fever • tachycardia • tachypnea • mulk organ system (cr, ONS, GI) TREATMENT •Thiogmides - RA 10dids surgem C De

Diagnosis Via Lab

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