patho of hypothyroidism correct answers decreased thyroxine (T4) = increased thyroid-
stimulating hormone (TSH) = increase of T4 = hypertrophy of thyroid gland = dysfunction of
thyroid gland (low T4 again)
T3 & T4 functions correct answers metabolism (O2, glucose, fats)
growth & development (nervous/cardio/GI/reproductive system function)
mineralocorticoids (aldosterone) are produced in the ____. they resorb ___ and excrete ____.
correct answers kidneys, sodium, potassium
glucocorticoids (cortisol) is for the ____ of carbs, protein and fats; body's response to ___; and
has an anti-inflammatory response correct answers metabolism, stress
causes of hypothyroidism (3) correct answers hashimoto's
treatment for hyperthyroidism
atrophy of thyroid from aging
hashimoto's disease is an ____ response in which the body attacks the ____ correct answers
autoimmune, thyroid gland
hypothyroidism s/s indicate ____ of the metabolic process correct answers slowing
early s/s of hypothyroidism (4) correct answers fatigue
amenorrhea/loss of libido
nonpitting edema
hair loss, dry skin, brittle nails
, late s/s of hypothyroidism correct answers *everything slows down:
slowed speech/apathy/low LOC
absence of sweating/cold intolerance
constipation (gastric atrophy)
dyspnea
bradycardia/hypotension/decreased cardiac output/slow HR - edema = weight gain
myxedema coma patho correct answers accumulation of fluid in tissues = pericardial/pleural
effusions = heart and lungs shut down = hypoventilation (retain CO2) and hypotension (shock) =
hypothermia, hypoglycemia, hyponatremia
myxedema coma causes: (6) correct answers illness, rapid d/c of thyroid meds, anesthesia,
surgery, hypothermia, sedatives/narcotics
because of ____ ____, sedatives have a profound effect with hypothyroidism correct answers
decreased metabolism
*stay in system longer
medicine for hypothyroidism correct answers synthyroid (replacement)
synthyroid issues (3): correct answers drug interactions (digoxin, dilantin, antidepressants,
anticoagulants)
increase blood sugar
causes increased O2 demand without increasing O2 supply = cardiac complications
*give on empty stomach in early a.m.