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Hypothyroidism (Clinical Manifestations by system: (Reproductive:
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Hypothyroidism
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PATHOPHYSIOLOGY
Hypothyroidism: A deficiency of thyroid hormone :explode:Two main causes of hypothryoidism
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WHAT IS THE THYROID?
:pen:the thyroid is a butterfly-shaped gland
:pen: located in the front of the neck just above the trachea
:unlock:produces and releases two potent hormones
:check: thyroxine (T4)
:check: triiodothyronine (T3)
:red_cross: T4 is the principal hormone produced
by the thyroid gland and in circulation. Monodeiodination of its outer ring in both the cytoplasm and nucleus of target tissues converts it to T3 by the function of three tissue-specific deiodinases
:red_cross: Deficiency of T3 actions cause hormonal, biochemical, ion-transport, and mechanical
changes in target tissues
Nursing Care
Risks in treatment are associated with overdosing or underdosing, would result in the continuation of hypothyroidism and over dosing could cause hyperthyroidism.
Sign and symptoms of an overdose include, insomnia, increased appetite, shakiness, feeling overheated, shortness of breath, and palpation's
Patients taking this hormone replacement will need their TSH levels checked every 6-10 weeks . The goal of treatment is to keep the patient TSH levels within a therapeutic range
Patients should seek medical attention if they experience any weight gain or loss, if they miss doses, or experience any hyperthyroid symptoms.
This condition is treated by replacing the missing hormone, Synthetic thyroxine pills are taken to replace the T4 hormone
Diagnostic, Medical and Pharmacologic Management
Medical Management
:check:Monitor for chest pain, palpitations, and dizziness, especially in older adults and patients with coronary heart disease
:check:Monitor T3, T4, and TSH levels and adjust medication dosage accordingly
:check:Monitor glucose, weight, and increasing physical and mental energy
Diagnostic
Diagnosis of primary hypothyroidism is made by documentation of the clinical symptoms of hypothyroidism and measurement of increased levels of TSH and decreased levels of TH
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