Thyroid

Question 1

Hyperthyroidism s&s

Answer 1

-weight LOSS
- HR, BP ^
- exophthalmos
- hot body
- “run yourself into the Grave”s disease

Question 2

Hypothyroidism s&s

Answer 2

-weight GAIN
- HR, BP go down
- cold body
- slow (do not sedate)
- NEVER HOLY THYROID PILLS FOR PRE-OP

Question 3

Hyperthyroidism treatment

Answer 3

• radioactive idiodine
• PTU (puts thyroid under)
  > monitor WBC (immunosuppression)
• thyroidectomy
  > hypocalcemia risk
  > lifelong hormone replacement

Question 4

Total Thyroidectomy post-op assessment

Answer 4

• first 12 hrs: airway (Deena), hemorrhage
• 12-48 hours: tetany
• after 48 hrs: infection (greater risk after 72 hours)

Question 5

Sub/partial thyroidectomy post-op assessment

Answer 5

• first 12 hours: airway (edema)
• 12-48 hrs: thyroid storm
  > treatment: ice pack (first step), cooling blanket (best step)»_space; get temp down, oxygen up
• after 48 hrs: infection (greater risk after 72 hrs)

Question 6

Hypothyroidism treatment

Answer 6

• levothyroxine (synthroid)
  > 30 min - 1 hr before breakfast
  > empty stomach

Question 7

Hyperthyroidism treatment

Answer 7

• radioactive iodine
  -PTU (put thyroid under)
  > monitor WBC
• thyroidectomy
  > hypocalcemia
  > lifelong hormone replacement

Question 8

Total thyroidectomy post-op assessment

Answer 8

• first 12 hours: airway (edema) hemorrhage
• 12-48 hours: tetany
• after 48 hours: infection

Question 9

Partial (sub) thyroidectomy post- op assessment

Answer 9

After 12 hours: airway (edema), hemorrhage
12-48 hours: thyroid storm
After 48 hours: infection

Question 10

Thyroid storm treatment

Answer 10

First step: ice pack
Best step: cooling blanket
- get temp down
- get oxygen up

Question 11

Hypothyroidism s&s

Answer 11

• weight GAIN
• HR, BP go down
• cold body
• slow (do not sedate)
• NEVER HOLD THYROID PILLS FOR PRE-OP

Question 12

Hypothyroidism treatment

Answer 12

• levothyroxine (synthroid)
• 30 min - 1 hr before breakfast
• empty stomach