NUR 229 Lecture Notes - Lecture 24: Thyroid, Anterior Pituitary, Hypothyroidism
Document Summary
Tsh: produced from the anterior pituitary gland that stimulates t3 and t4 production. Thyroid problems diagnosed with blood tests that look at t3, t4 (free) levels, and. ***early signs are feeling tired and fatigue then as hypothyroidism progresses the patient starts to exhibit other symptoms. Hashimoto"s thyroiditis (most common cause): autoimmune disorder where the body attacks the thyroid gland which causes it to stop releasing t3 and t4. Iodine deficiency: not consuming enough foods with iodine. Pituitary tumor: stops the anterior pituitary from secreting tsh which stimulates the thyroid gland to secrete t3 and t4. Treatment for hypothyroidism: thyroid hormone replacement (synthroid, thyrolar, cytomel, avoid sedatives and narcotics because these patients are very sensitive to them and they increase the chances of myxedema coma. Keep patient warm and assess for constipation (very uncomfortable) encourage fluids. Thyroid hormone replacement: cytomel liothyronine sodium , thyrolar liotrix , synthroid levothyroxine most common.
