NCLEX STUDY FROM MARK KLIMEK

Hyperthyroidism is also called Grave's disease or hypermetabolism Tip to remember Grave's disease s/s's "Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance Treatment for Grave's disease Radioactive Iodine, PTU (put thyroid under), surgically remove Total thyroidectomy ... totals get tetany, need lifelong hormone replacement After thyroidectomy patients are at risk for hypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia parathesia numbness and tingling, first sign of electrolyte imbalance Subtotal thyroidectomy ... subs get storm S/S of thyroid storm Extremely high vital signs, hyperpyrexia, psychotic delerium How to treat thyroid storm give o2, lower temp to spare brain Risks post op for total thyroidectomy airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany Risks post op for sub total thyroidectomy airway, hemorrage for 1st 12 hours then for 12-48 hours thyroid storm Hypothyroidism is also called Myxedema or hypometabolism S/S of mydexema everything is down, constipation, heat tolerance, cold intolerance Treatment for mydexema give thyroid medications Where to put the 5 ice packs to cool a thyroid storm patient neck pits groin If you cool a patient too fast what might happen? Heart arrythmias Never hold the hormone for what patient? patient who is NPO with mydexema Addison's disease easy way to remember Add a Sone (sone = steroid) Adrenal Cortex diseases easy way to remember A in Adrenal stands for Addison's C in Cortex stands for Cushing's Addison's disease is undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock very easily. STRESS can trigger. Addison's