24 Questions
What is necessary if angina or arrhythmias occur during thyroid hormone administration?
Discontinuation of thyroid hormone administration
What is recommended for passive rewarming in hypothyroidism?
A blanket
What is essential to monitor in severe hypothyroidism and myxedema coma?
Arterial blood gases and oxygen saturation levels
What should be exercised when administering fluids to hypothyroid patients?
Caution to avoid water intoxication
Which group requires individualized and cautious thyroid hormone replacement due to potential cardiovascular side effects?
Older patients
What is common among older women in terms of hypothyroidism?
Prevalence of hypothyroidism increases with age
What is prolonged in hypothyroidism?
Effects of analgesic, sedative, and anesthetic agents
What may be necessary for managing hypothyroidism at home?
Referral for home, community-based, or transitional care
What is common among older women in terms of hypothyroidism?
Subclinical disease
What is crucial for managing hypothyroidism at home?
Patient and family education
What should be given with extreme caution in hypothyroidism due to altered metabolism and excretion?
Medications
What is necessary for effective management of severe hypothyroidism and myxedema coma?
Prompt, aggressive management
What are the objectives in the management of hypothyroidism?
Restoring a normal metabolic state by replacing the missing hormone and preventing disease progression and complications
Why can angina or arrhythmias occur when thyroid replacement is initiated?
Thyroid hormones enhance the cardiovascular effects of catecholamines
What occurs when the oxygen needs of the myocardium exceed its blood supply?
Angina and acute coronary syndrome
Why is it important to aggressively treat acute coronary syndrome in hypothyroidism?
To avoid morbid complications
What must the nurse monitor for in patients with severe, long-standing hypothyroidism?
Signs and symptoms of cardiac dysfunction
What effect does thyroid hormone replacement have on the oxygen demand of the myocardium?
Increases the oxygen demand
What does the occurrence of angina and acute coronary syndrome indicate?
The oxygen needs of the myocardium exceed its blood supply
Why is it important to prevent disease progression and complications in hypothyroidism management?
To avoid morbid complications
What is the effect of thyroid hormones on the cardiovascular effects of catecholamines?
Enhances the cardiovascular effects
What is the nurse's role in the management of hypothyroidism?
Monitor for signs and symptoms of cardiac dysfunction
What is the effect of thyroid hormone replacement on the oxygen delivery to the myocardium?
Cannot be increased unless atherosclerosis improves
Why is it important to restore a normal metabolic state in hypothyroidism management?
By replacing the missing hormone and preventing disease progression and complications
Study Notes
Nursing Management of Hypothyroidism and Myxedema
- Discontinuation of thyroid hormone administration is necessary if angina or arrhythmias occur
- Severe hypothyroidism and myxedema coma require prompt, aggressive management
- Monitoring of arterial blood gases and oxygen saturation levels is essential
- Caution should be exercised when administering fluids to avoid water intoxication
- Passive rewarming with a blanket is recommended over active rewarming
- Effects of analgesic, sedative, and anesthetic agents are prolonged in hypothyroidism
- Medications should be given with extreme caution due to altered metabolism and excretion
- Patient and family education is crucial for managing hypothyroidism at home
- Referral for home, community-based, or transitional care may be necessary
- Prevalence of hypothyroidism increases with age, especially among women
- Subclinical disease is common among older women and can be asymptomatic
- Older patients require individualized and cautious thyroid hormone replacement due to potential cardiovascular side effects
Test your knowledge of the nursing management of hypothyroidism and myxedema with this quiz. Explore essential aspects such as monitoring, medication administration, patient education, and special considerations for older patients.
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