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THYROID GLAND & PARATHYROID GLAND
THYROID GLAND & PARATHYROID GLAND
44
Nursing
Undergraduate 2
01/30/2012

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Term
in the lower portion of the anterior neck, two lobes one on each side of the trachea
Definition
Where is the thyroid gland located?
Term
regulating the body's rate of metabolism and growth and development
Definition
What does the thyroid gland regulate in the body?
Term
T3
T4
Calcitonin
Definition
What hormones do the thyroid gland produce?
Term
helps regulate Ca in the body
Definition
What does calcitonin do in the body?
Term
helps regulate body metabolism
Definition
What does T3 and T4 do in the body?
Term
T4 serum levels remain the same
T3 serum levels often decline
Definition
What happens do the hormones produced by the thyroid gland during age in a healthy adult?
Term
blood test: T3 and T4
thyroid-releaseing hormone stimulation test
Radioactive iodine (RAI) uptake test
Definition
What are the diagnostic test and procedures to test the thyroid?
Term
give a dosw of TSH and measure the levels
increase TSH causes hypothyroidism and meaning the cause is coming from the thyroid gland
TSH is decrease it means the problem is coming from the pituitary gland
Definition
What is a thyroid-releasing hormone stimulation test (TRH)?
Term
inject radioactive iodine
take x-ray to see how much iodine
a lot of iodine maens hyperthyroidism
a small amount of iodine means hypothyroidism
Definition
What is a radioactive iodine up take test (RAI)?
Term
where gloves when dealing with urine
flush twice
Definition
What percautions should you do when dealing with a pt who just at a RAI?
Term
abnormally increased synthesis and secretion of thyroid hormones
Definition
What is hyperthryoidism?
Term
A form of hyperthyroidism where our body immune systems attacks the thryroid gland causing increase production of hormone.
Definition
What is graves disease?
Term
younger women
Definition
Who is graves disease mostly seen in?
Term
bowlging of the eyes
Definition
What is exophthalmos?
Term
are the same as increased metabolism
hot all the time
Definition
What are S/S of hyperthyroidism?
Term
throytoxicosis(thyroid storm): excessive stimulation caused by elevated thryoid hormone levels that produce dangerous tachycardia and hyperthermia
Definition
What is a complication of hyperthyroidism?
Term
decrease TSH serum levels
increase T4 serum levels
Definition
How is hyperthyroidism diagnosised?
Term
antithyroid drugs: blocking the release or decrease the production of hormones
Radioactive iodine: large amounts of iodine will cause destruction of the thryroid gland
Subtotaly thyroidectomy: removal of the thyroid gland
Definition
How is hyperthroidism treated?
Term
antithyroid drugs are given: to prevent stimulation of the hormones
Definition
What pre op measures are taken before a subtotal thyroidectomy?
Term
ice around the neck
trach kit is next to the bed
Definition
What post op measures are taken after a subtotal thyroidectomy?
Term
V/S are increased
Definition
What would you see in your assessment with a pt with hyperthyroidism?
Term
avoid caffeine
high calorie diet
antidiarrheals
Definition
What interventions are there for a pt with hyperthyroidism?
Term
inadequate secretion of thyroid hormones
Definition
What is hypothyroidism?
Term
Creatinism: usually diagnosised at infancy
Definition
What is one cause of hypothyroidism?
Term
cause permanent physcial and mental retardation
Definition
What can hypothyroidism do to a child?
Term
thyroid gland stops working commonly from longer term treatment of hyperthyroidism
Definition
What is primary hypothyroidsim?
Term
pituitary gland isn't working or the pt had their thyroid removed
Definition
What is secondary hypothyroidism?
Term
swelling of the lips and eyelids
weight gain
constipation
can't tolerate cold
hypotention
bradycardia
*everything is slowing down
Definition
What are the S/S of hypothyroidism?
Term
blood test: T4 and T3 decreases
TSH increases
Definition
How is hypothyroidism diagnosised?
Term
Myxedema coma
Definition
What are some complications of hypothyroidism?
Term
Hypothermia: low tempature
hypotension: low BP
hypoventilation: decreaseed airways
Definition
what are S/S before a myxedema coma?
Term
hormone replacemnet therapy
Definition
What is done to treat hypothyroidism?
Term
frequent periods of rest
may be reduced calorie intake
warm enviroment
skin care for dry skin
fluids, fiber, physcial activity to reduce constipation
Definition
What are some interventions for hypothyroidism?
Term
located on back of the thyroid gland
Definition
Where is the parathyroid gland located?
Term
usually 4, some people have more
Definition
How many parathyroid gland are there?
Term
parathyroid hormone: plays a critical role in regluating the serum Ca levels
Definition
What hormone does the parathyroid produce?
Term
stimulated our parathyroid hormone to be released, which moved Ca from our bones to our blood causing our kidneys to ratain Ca
Definition
What happens in the body when the serum Ca levels drop?
Term
phosphate levels
Definition
If Ca serum levels are high what is usually low?
Term
Ca in the urine
high levels of Ca in the urine causes kidney stones
Definition
What does a 24hr urine collection measure when dealing with the parathyroid gland?
Term
Radiographs: bone density
dental examination: decrease Ca caused dental problems
electrocardiogram: Ca cause cause heart rhythm promblems
Definition
What are some procedures when dealing with the parathyroid gland?
Term
secretion of excess parathyroid hormone
Definition
What is hyperparathyroidism?
Term
elevated serum calcium levels
Definition
What is hypercalcemia?
Term
weakness
depression
anorexia
cardia dysrhythmia
weight loss
urinary calculi
increase risk for fractures
hyperactive reflex
muscle cramps and weakness
Definition
What are some S/S of hyperparathyroidism?
Term
Drug therapy: phosphorus replacements
Surgical: parathyroidectomy
Definition
What are some treatments of hyperparathyroidism?
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