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CHAM SOC BENH NHAN BASEDOW BIEN CHUNG NANG Khoa Noi tiet-Dai thao duong Benh vien Bach Mai... Disorders of the Thyroid Gland PG.. 951 • Thyroid disorders include hyperthyroidism, thyroto

CHAM SOC BENH NHAN BASEDOW

BIEN CHUNG NANG Khoa Noi tiet-Dai thao duong

Benh vien Bach Mai

Morbus Basedow = Glotzaugenkrankheit

Disorders of the Thyroid Gland

PG 951

• Thyroid disorders include hyperthyroidism, thyrotoxic crisis, hypothyroidism, thyroid

tumors, and endemic and multinodulal

goiters

• Also called Graves disease, Basedow’s

disease, thyrotoxicosis, or exophthalmic

goiter.

• May be autoimmune or inherited disease.

• Symptoms are from mild to severe

• Restless despite feeling fatigued and weak, highly excitable, and constantly agitated

• Fine tremors of the hands occur, resulting in unusual clumsiness ( 56-4)

Graves Disease

• Cannot tolerate heat, and experience an

increased appetite with weight loss.

• Diarrhea also occurs.

• Visual changes, such as blurred or double

vision, can develop.

• Exophthalmos, seen in client with sever

hyperthyroidism, is due to enlargement of

muscle and fatty tissue that surrounds the rear

& sides of the eyeball

Hyperthyroidism

Nursing Management

• Monitor heart rate and BP

• Record sleep pattern and daily weight

• May take several weeks before thyroid

medication effective

• If radioactive iodine is used to destroy

thyroid tissue, tell the client that it does not seriously affect other tissues

Thyrotoxic Crisis

• Nursing Management: Pt is acutely ill!!

• Monitor V/S esp the temperature (may

require measures other than antipyretics such as cooling blankets or the application

of ice)