ANA - hyperthyroid

Nursing responsibilities: provide [blank_start]rest[blank_end] in a cool quiet environment Provide a stress free environment, be reassuring, teach [blank_start]relaxation[blank_end] procedures to reduce cardiac workload antithyroid medications (PTU, propylthiouracil) Monitor blood pressure, pulse, respiratory rate, oxygenation Assess for peripheral [blank_start]oedema[blank_end] maintain patent airway regular eye exams, moisturize eyes Radioactive Iodine 131 - taken up by thyroid gland and destroys some thyroid cells over 6-8 weeks - monitor lab values for hypothyroidism Monitor nutritional status through results of lab data. Serum [blank_start]albumin[blank_end], transferrin and total lymphocyte counts tend to be lower in nutritional deficits. A negative [blank_start]nitrogen[blank_end] balance signifies a catabolic state where protein is lost and metabolic demands are not being met.

Surgical removal responsibilities: monitor airway assess for obstruction, stridor, dysphagia have tracheotomy equipment available maintain in semi-[blank_start]fowlers[blank_end] position assess [blank_start]surgical site[blank_end] for bleeding monitor for [blank_start]hypo[blank_end]calcemia have calcium gluconate available minimal [blank_start]talking[blank_end] during immediate post operative period

Patient education: Ask the person to [blank_start]weigh[blank_end] daily at the same time each day and keep a record of results. Advise them of the importance of doing this to detect weight loss and the bodies inability to meet metabolic [blank_start]demands[blank_end] In collaboration with a dietician, advise the person the need for a [blank_start]high[blank_end] carb and protein diet including between meal snacks. [blank_start]Six[blank_end] small meals a day might be better than 3 large meals. Increased nutrients and a well-balanced diet are essential to meet metabolic needs