ANA - hypothyroidism

Nursing responsibilities:

Monitor blood pressure, heart rate and rhythm, respiratory rate and lung sounds. indicates decreasing peripheral blood flow.
maintain open airway.
Avoid temperatures. Increase temperature if necessary and use additional bed blankets. Chilling increases metabolic rate and puts increased stress on the heart.
monitor medication therapy (overdose with thyroid medications possible)
assess thyroid hormone
Encourage uptake
monitor and administer as needed
Monitor skin for or lesions due to impaired skin integrity
Use a pressure injury

Patient education:

Patient is likely to have due to reduced appetite, decreased food uptake, decreased level, reduced water .
Encourage fluid uptake
Discuss ways to maintain diet
Encourage as tolerated
Teach person measures to maintain skin integrity - use not hot water, motions when cleaning
Encourage or teach person to /change positions every 2 hours to promote circulation
Teach range of motion exercises
Explain the need to alternate activity with periods.
Ask people to report any breathing difficulties, chest pain, heart palpitations or dizziness. Explain that activity increases stress on the and should be balanced with rest. (Symptoms of stress include dyspnoea, chest pain, palpitations and dizziness)