HYPOTHYROIDISM 
DEFINATION
A condition in which the thyroid gland doesn't produce enough thyroid hormone
CAUSES
CLINICAL MANIFESTATIONS
Fatigue
Cold sensitivity
Constipation
Unexplained weight gain
Dry skin
Autoimmune disease
Hyperthyroidism treatments
Radiation therapy
Thyroid surgery
Iodine deficiency
Pituitary disorders
PATHOPHYSIOLOGY
Alteration of secretion and metabolism of hypothalamic pituitary and gonadal hormones
PHARMACOLOGICAL MANAGEMENT
Levothyroxine
Excessive amount of thyroid hormone stimulates the cardiac system and increases the of-adrenergic receptors
Increase in sympathetic nervous system activity
Trachycardia and increased cardiac out put, stroke volume, adergenic responciveness and peripheral blood flow
The action of thyroid hormone on the body is stimulatory, hypermetabolism result
Leads to a negative nitrogenous balance, lipid dipletion and the resultant state of nutritional defeciency
Loss of the normal regulatory control of thyroid hormone secretion
Hypothyroidism result
Methimazole
CARE PLAN
Increase fluid intake
Provide foods high in fibre
Avoid external heat exposure
Manage respiratory symptoms
Protect against coldness
Pulmonary exercise
Promote rest
REFERENCES
Chaker L, et al. Hypothyroidism. The Lancet. 2017;390:1550.
Hypothyroidism. American Thyroid Association. https://www.thyroid.org/hypothyroidism/. Accessed Oct. 8, 2018.