Levels of T3 and T4 in the blood stream are too low and causes a decrease in the metabolic rate
Hypothyroidism is often undiagnosed in ____________ clients.
What are the three kinds of hypothyroidism?
Primary - disfunction of the thyroid gland or loss of.
Secondary - failure of the anterior pituitary gland to stimulate the thyroid.
Tertiary - failure of the hypothalamus to produce TSH
What age group is most affected by hypothyroidism?
women 30-60 years old
In hypothyroidism, the hormone disturbance can contribute to an acceleration of ___________ .
These two medications can cause hypothyroidism.
lithium and amiodarone
Radiation therapy to the _________ and ____________ can increase the possibility of getting hypothyroidism.
True or false: Hypothyroidism is often characterized by vague and varied findings that develop slowly over time.
What are some expected findings for a patient with hypothyroidism?
weight gain without caloric intake increase
pale, dry, flakey skin
thick brittle finger nails
horse raspy speech
What is a normal T3 range in adults?
ages 20-50: 70-205
ages older than 50: 40-180
What is normal T4 range in adults?
4-12 in men
5-12 in women
What lab level is raised by hypothyroidism?
What two diagnostic procedures can be done to help determine if a client has hypothyroidism?
Nuc med radioisotope uptake
What nursing care should you consider when you have a client who has hypothyroidism?
Monitor for cardiovascular changes
Monitor for weight changes
Assess mental status
Increase activity level gradually
Apply compression stockings
Monitor respiratory status
Provide low calorie, high bulk diet
administer stool softeners as needed
Provide meticulous skin care
What laxative should you avoid for a patient who has hypothyroidism?
Why should hypothyroidism clients avoid electric blankets?
because the combination of vasodilation, decreased sensation, and decreased alertness can lead to unrecognized burns.
What medication is used to treat hypothyroidism?
Levothyroxine increases the effects to the medication ______________ but can also increase the need for ____________ and __________.
What nursing consideration should you take into account when giving levothyroxine?
Monitor for cardiovascular compromise
What client education should you give when administering levothyroxine.
Instruct client to begin treatment slowly and that the dosage is increased every 2-3 weeks.
Take on an empty stomach
fiber supplements, calcium, iron and antacids interfere with absorption
monitor for S&S of hyperthyroidism
This is a life threatening condition that occurs when hypothyroidism is left untreated.
What are the manifestations of myxedema?
When a patient is in myxedema, how will you give levothyroxine?
large dose IV bolus