Hypothyroidism Case Study

Question 1

?’s to find hypothyroidism

Answer 1

1. What is usual BP?
2. Problems sleeping?
3. Problems w/ edema
4. Trouble w/ temp?
5. Changes in bowels?

Question 2

Things to look for w/ hypothyroidism

Answer 2

Cardio-pulmonary system
look for edema

Health hx

Question 3

Drug interactions w/ thyroid drugs

Answer 3

Anti-coagulants
Anti-epileptics

Don’t take w/ Iron supplements // Separate at least 2 hours

Question 4

Myxedema Coma

Answer 4

1. Avoid stressful events
2. Wear ID bracelet that says she has hypothyroidism
3. Take medication at the same time every day

Question 5

Myxedema Coma

Answer 5

1. Unresponsiveness or lethargy that results from severe or neglected hypothyroidism.
2. Marked by neuro dysfunction
3. This is a crisis and requires thyroid and adrenocortical hormones, fluids, and glucose

Question 6

When to hold Thyroid Medication

Answer 6

Hold dose if resting HR is >100 bpm

Question 7

Hashimoto’s Disease

Answer 7

Autoimmune illness in which inflammation, followed by destruction and fibrosis of the thyroid gland resulting in hypothyroidism

Question 8

Secondary hypothyroidism

Answer 8

1. Pituitary doesn’t release thyroid stimulating hormone causing low TSH