4 Thyroid Disorders and Nursing Care Free Online FlashCards

What thyroid-test pattern is typical of primary hypothyroidism?

In primary hypothyroidism, TSH is generally elevated and free T4 is low.

Which findings commonly suggest hypothyroidism?

Common findings include fatigue, cold intolerance, weight gain, constipation, dry skin, slowed heart rate, and difficulty concentrating.

How is levothyroxine generally taken for best consistency?

Take it consistently as prescribed, generally on an empty stomach, and wait 30–60 minutes before eating.

Which findings commonly suggest hyperthyroidism?

Common findings include heat intolerance, sweating, tremor, anxiety or irritability, weight loss, frequent bowel movements, muscle weakness, and a rapid or irregular heartbeat.

What is the role of a beta blocker in hyperthyroidism treatment?

A beta blocker may control symptoms such as tremor and rapid heart rate while other hyperthyroidism treatment takes effect.

What pattern may indicate thyroid storm?

Suspect thyroid storm with severe deterioration such as high fever, marked tachycardia or dysrhythmia, agitation or delirium, gastrointestinal symptoms, and cardiovascular instability.

In thyroid storm treatment, when is iodine given relative to a thionamide?

Administer iodine after the thionamide, not before.

Which findings may indicate myxedema coma?

Possible findings include hypothermia, lethargy or reduced consciousness, bradycardia, hypotension, hypoventilation, hyponatremia, and hypoglycemia.

In suspected myxedema coma, what is the medication sequence for glucocorticoids and thyroid hormone?

Give prescribed stress-dose glucocorticoids before thyroid hormone until coexisting adrenal insufficiency has been assessed or excluded.

What thyroid-test pattern is typical of primary hyperthyroidism?

In primary hyperthyroidism, TSH is usually low and free T4 and/or T3 is elevated.

Why may calcium or iron need to be separated from levothyroxine?

Calcium and iron can reduce levothyroxine absorption, so follow instructions for separating them from the dose.

What are immediate nursing priorities for suspected thyroid storm?

Activate emergency response, support airway, breathing, and circulation, and begin continuous cardiac and oxygen-saturation monitoring with frequent assessments.