Monica Treta

January 28, 2011

HYPOTHYROIDISM
(myxedema)

congenital defects DIAGNOSIS

surgery serum studies of TA,
radiation TSH, T4, T3, T3RU,
insufficient amounts of TH
antithyroid medications Thyroid suppression.
thyroiditis
iodine deficiency
CAUSES TREATMENT
Medications
levothyroxine
liothyroinine
liotrix
lower
metabolic rate thyroid gland enlargement Surgery
heat production (goiter) thyroidectomy

MANIFESTATIONS

MUSCULOSKELETAL GI
muscle stiffness decreased appetite
RENAL CARDIOVASCULAR weight gain
Reduced renal blood flow cardiac enlargement constipation
hyponatremia
fluid retention/edema RESPIRATORY
dry skin dyspnea
pallor
NURSING DIAGNOSIS hoarseness NURSING DIAGNOSIS
Decreased Cardiac Output Constipation
NURSING DIAGNOSIS
Risk for Impaired Skin Integrity INTERVENTIONS INTERVENTIONS
Monitor BP, HR and rhythm OTHER Encourage fluid intake
INTERVENTIONS Avoid cold temperatures decreased taste & smell Encourage high fiber diet
Monitor skin surfaces Alternate periods of rest/ menstrual disorders Encourage activity as
Turning schedule activity anemias tolerated.