Endocrine Handout 5 Thyroid & Parathyroid Glands I. Reading Assignment: Brunner & Suddarth’s Textbook of Medical- Surgical Nursing, A. Chapter 42, Pages 1448 - 1473 II. Student Learning Outcomes A. The student will be able to describe etiology, pathophysiology, clinical manifestations, nursing management and patient education for the following 1. Graves’s disease 2. Throiditis 3. Hashimoto’s thyroiditis 4. Hypothyroidism 5. Thyroid neoplasm 6. Hyperparathyroidism 7. Hypoarathyroidism 8. Thyrotoxic crises 9. Myxedema B. The student will be able to discuss medical terms commonly used in the endocrine system C. The student will be able to review and identify anatomy and physiology of the endocrine system D. The student will be able to identify components of a complete endocrine physical assessment E. The student will be able to discuss nursing management and patient education in the pre and post operative care of patients undergoing the following surgeries 1. Thyroidectomy F. The student will be able to identify the clinical significance and related nursing responsibilities of the following test and procedures used for diagnostic assessment of the patient with an endocrine disorder 1. Thyroid scan 2. Thyroid ultrasonography 3. Thyroid biopsy 4. Thyroxine serum (T4) 5. Triodothyronine serum (T3) Endocrine Handout 5 8/15/2022 1
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Endocrine Handout 5Thyroid & Parathyroid Glands
I. Reading Assignment: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing,
A. Chapter 42, Pages 1448 - 1473
II. Student Learning OutcomesA. The student will be able to describe etiology, pathophysiology, clinical manifestations,
nursing management and patient education for the following1. Graves’s disease2. Throiditis3. Hashimoto’s thyroiditis4. Hypothyroidism5. Thyroid neoplasm6. Hyperparathyroidism7. Hypoarathyroidism8. Thyrotoxic crises9. Myxedema
B. The student will be able to discuss medical terms commonly used in the endocrine systemC. The student will be able to review and identify anatomy and physiology of the endocrine
systemD. The student will be able to identify components of a complete endocrine physical
assessmentE. The student will be able to discuss nursing management and patient education in the pre
and post operative care of patients undergoing the following surgeries1. Thyroidectomy
F. The student will be able to identify the clinical significance and related nursing responsibilities of the following test and procedures used for diagnostic assessment of the patient with an endocrine disorder
2. __________________ blood reabsorption of ____________ from the
_____________
3. _______________ Ca level
4. AKA: ______________________
B. Etiology
1. Heredity
2. _______________________
C. Signs & Symptoms
1. Neuromusclar ___________________
2. Acute ___________________
a. _________________ of fingers
b. __________________ spasms
c. ________________________
d. + __________________________ sign
a. Tap ___________ nerve
b. ______________________
e. + __________________________ sign
a. Occlusion of ____________ artery x 3 min
b. ______________ spasm
3. Chronic S&S
a. ___________________
b. Muscle Spasms
c. _____________________ in the eyes or brain
d. _____________________________
e. Laryngospasms
a. Obstruction of the ____________________
D. Diagnostic Tests
1. Chvostek’s sign
2. Trousseau’s sign
3. Labs
Endocrine Handout 55/9/2023
18
a.
b.
E. Medial-surgical management
1. IV calcium gluconate
2. Breathing into a paper bag ______________ ____________
3. Diet
a.
b.
4. Vitamin
5. ___________________ diuretics
F. Nursing management
1. Monitory closely for S&S of ___________________
2. Monitor for ____________________
Case
Endocrine Handout 55/9/2023
19
Case Study: Sally is a 43-year-old office worker admitted to the hospital with a high fever. While collecting data for her history and find that she has recently lost her job because of inability to handle job stress. She has also had recent weight loss, fatigue, insomnia, palpitations, and heat intolerance. After an endocrine workup, her physician diagnoses Grave’s disease. A subtotal Thyroidectomy is scheduled for 2 months later, and she is started on Propylthiouracil and Propranolol (Inderal).
1. Why is Sally having palpitations? (Which other hormones might be involved?)
2. Why does Sally have a fever?
3. Why is surgery delayed for 2 months?
4. How will the Propranolol help?
5. Why was the Propylthioracil ordered?
6. What is the advantage of a subtotal over a total Thyroidectomy?
7. What will you teach Sally before the surgery?
8. Why should a tracheostomy set be at the bedside after surgery?
9. Sally develops tingling in her fingers and toes after surgery. What do you
suspect? What is the cause?
10. How will Sally’s dietary needs change after surgery?
Questions:
1. Where are the parathyroid glands located?
2. How many parathyroid glands do most people have?
3. What hormone(s) does the parathyroid gland secrete?
4. The Parathyroid hormones regulate the blood levels of what two elements?
5. What three diagnostic tests can be performed to test parathyroid function?
6. Name 3 medications that decrease serum Calcium levels
7. What are normal serum calcium levels?
8. How can hyperparathyroidism be treated surgically?
9. What medications are used to treat hypercalcemia?
10. Hyperparathyroidism leads to _______ serum calcium levels
11. Describe Chvosteks and Trousseau’s sign and what they indicate
12. Name 5 foods high in calcium
13. Define primary and secondary hyperthyroidism
14. Be able to complete the following
PTH S&S Dx Tx Rx Severe Nursing LabsHyperParathyroidism