Podcast
Questions and Answers
Hyperthyroidism is also called?
Hyperthyroidism is also called?
- Cushing's syndrome
- Grave's disease (correct)
- Myxedema
- Hypothalamic disorder
A tip to remember Grave's disease s/s's is "Run yourself into the ____".
A tip to remember Grave's disease s/s's is "Run yourself into the ____".
Grave
What is the treatment for Grave's disease?
What is the treatment for Grave's disease?
Radioactive iodine, PTU, surgically remove
Total thyroidectomy patients need lifelong hormone replacement.
Total thyroidectomy patients need lifelong hormone replacement.
After thyroidectomy, patients are at risk for what condition?
After thyroidectomy, patients are at risk for what condition?
What does parathesia refer to?
What does parathesia refer to?
S/S of thyroid storm include?
S/S of thyroid storm include?
How to treat thyroid storm?
How to treat thyroid storm?
Match the following disease with their characteristics:
Match the following disease with their characteristics:
What is the best way to remember Addison's disease?
What is the best way to remember Addison's disease?
S/S of Cushing's syndrome include?
S/S of Cushing's syndrome include?
Donning PPE's order: Gown, Mask, Goggles, ____.
Donning PPE's order: Gown, Mask, Goggles, ____.
For airborne precautions, the mask is removed ____ of the room.
For airborne precautions, the mask is removed ____ of the room.
Avoid answers with the words build, sort, stack, construct, make for children 9 months and younger.
Avoid answers with the words build, sort, stack, construct, make for children 9 months and younger.
Toddlers (1-3 years) focus on which skills?
Toddlers (1-3 years) focus on which skills?
Best default order for click and drag order questions is?
Best default order for click and drag order questions is?
Creatinine lab values are similar to what?
Creatinine lab values are similar to what?
What are the critical INR lab values?
What are the critical INR lab values?
Potassium lab values should range between?
Potassium lab values should range between?
Study Notes
Hyperthyroidism and Grave's Disease
- Hyperthyroidism is also known as Grave's disease, characterized by hypermetabolism.
- Symptoms mnemonic: "Run yourself into the Grave" emphasizes symptoms like diarrhea, weight loss, heat intolerance, high blood pressure, high heart rate, and cold intolerance.
Treatment for Hyperthyroidism
- Treatment options include radioactive iodine, Propylthiouracil (PTU), or surgical removal of the thyroid gland.
Thyroidectomy Considerations
- Total thyroidectomy results in tetany and requires lifelong hormone replacement therapy.
- Postoperative risks include hypocalcemia due to potential damage to parathyroid glands, presenting as tetany and paresthesia.
Thyroid Storm
- Subtotal thyroidectomy can lead to thyroid storm, which presents with extremely elevated vital signs, hyperpyrexia, and psychotic delirium.
- Thyroid storm treatment includes administering oxygen and lowering body temperature to protect the brain.
Hypothyroidism
- Hypothyroidism, also referred to as myxedema, results in hypometabolism with symptoms like constipation, heat intolerance, and cold intolerance.
- Treatment involves administering thyroid medications.
Cooling Measures for Thyroid Storm
- Five ice packs should be applied to the neck, armpits, and groin to cool a patient experiencing thyroid storm.
- Rapid cooling might lead to cardiac arrhythmias.
Addison’s Disease
- Addison's disease is characterized by undersecretion of adrenal cortex hormones, leading to symptoms like a bronze complexion and susceptibility to shock, particularly under stress.
- Treatment involves long-term steroid therapy.
Cushing's Syndrome
- Cushing's syndrome results from the overproduction of adrenal cortex hormones, leading to symptoms such as moon facies, elevated blood sugar levels, and potassium loss.
- Treatment options include surgery, specifically bilateral or unilateral adrenalectomy.
PPE Protocols
- Proper order for donning PPE: Gown, Mask, Goggles, Gloves.
- When removing PPE, follow the alphabetical order while inside the room.
Precautions for Children's Developmental Stages
- Children 9 months and younger should avoid activities that involve building or sorting.
- Toddlers (1-3 years) focus on gross motor skills and engage in parallel play.
- Preschoolers (3-6 years) develop fine motor skills, balance, and engage in cooperative play.
- School-age children (7-11 years) focus on creative, collecting, and competitive activities.
NCLEX Question Strategies
- For click-and-drag order questions, use the default order: Hold medication, Assess what the medication does, Prepare any corrections, Call or notify the appropriate personnel.
- Avoid choosing answers that suggest calling a doctor, as NCLEX emphasizes critical thinking.
Laboratory Values
- Creatinine levels are similar to lithium, ranging from 0.6-1.2, not typically considered dangerous.
- INR values should be maintained between 2-3; significant deviation presents bleeding risk requiring intervention with vitamin K as an antidote for Coumadin.
- Normal potassium levels are between 3.5-5.3. If low, assess heart function and prepare to administer potassium. If high, hold potassium, assess heart via EKG, and prepare to administer D5W and regular insulin.
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Description
Prepare for the NCLEX with this quiz focused on hyperthyroidism and Grave's disease. Each flashcard covers key definitions, symptoms, and treatment options associated with this condition. Test your knowledge and strengthen your understanding of important nursing concepts.
