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Thyroidectomy - Coggle Diagram
Thyroidectomy
Nursing care plan
Potential for airway obstruction
Nursing diagnosis
Risk of altered air entry related to neck oedemavas per surgery
Expected outcome
No strain on suture line,clear airway
Intervention
Nurse patient in supine position
Support head between two sandbags
Have clip remover incase of emergency
Bleeding
Nursing diagnosis
Haematoma in neck after surgery
Expected outcome
Early detection and management of bleeding
Nursing intervention
Frequently monitor vital signs
Observe bleeding on the wound
Be alert just in case of any airway obstruction
Evaluation
No evidence of bleeding after 4 to 6 hrs
Hoarseness of voice
Nursing diagnosis
Risk of damage to the recurrent laryngeal nerve
Expected outcome
No laryngeal nerve damage
Intervention
Observe for any sign of difficulty in breathing,dysphagia or hoarseness
Keep tracheotomy set must stay closer in case of emergency
Evaluation
No loss of voice after 6 to 8 hrs
Infection
Nursing diagnosis
Risk for infection
Expected outcome
Good wound healing without being infected
Intervention
Monitor for sepsis
Clean the site regulary
Check body temperature
Causes
Overactive thyroid
Goiter
Suspicious thyroid nodules
Thyroid cancer
Pre operative care
High calorie diet intake
Avoid stimulants
Educate patient about procedures
Provide emotional support
Post operative care
Monitor vital signs
Assess for bleeding
Be alert of signs of labored breathing
Semi fowlers position and head kept up
Definition
is an operation that involves the surgical removal of all or part of the thyroid gland