Nursing 3910A/B Lecture Notes - Lecture 11: Renal Artery, Suppository, Auscultation
6 Dec 2017
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Learning objectives: explore thyroid disorders, explore lived experience, nurse role in management. Outline: anatomy & physiology, diagnostics, hypothyroidism, hyperthyroidism, management. Thyroid function tests: thyroid stimulating hormone (tsh) If there are low levels of thyroid hormone levels, it will go back to the pituitary and release more trh. Hypothyroidism: 2% of adult women, less in men. Manifestations: hypo: age: 40-70, energy levels: decrease, very tired, brittle nails, dry skin, numbness in fingers, change in bowel pattern, constipation, menstrual disturbances, weight increases, hair loss, hoarseness. Management: hypo: pharmacologic therapy, can we give a hormone replacement, treatment based on, cardiac dysfunction, elevated cholesterol, atherosclerosis, cad, poor left vent. What might delay diagnosis in elderly: confusion, decreased muscle mass, slow metabolism, renal failure, with severe hypothyroidism pts may become confused and agitated, start low and go slow -> avoid angina and neurological se. Scenario: a 45 year old man works full time, and is married, with 3 children.
