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General Information:

  • Is a deficiency of TH resulting in the slowed body metabolism, decreased heat productiion, and decreased oxygen consumption by the tissues.
  • Hypothyroid state resulting from hyposecretion of thyroid hormones T3 and T4
  • Occurs often in women between ages 30 and 60

Assessment Findings:

  • Cardio: Bradycardia, cardiac complications
  • Musculo-skeletal: Lethargy, syncope, fatigue, weakness, muscle aches, paresthesis, slow clumsy movements
  • Genito-Renal: Weight gain, menstrual irregularities
  • Neurologic: Forgetfulness and loss of memory
  • Integumentary: Generalized puffiness and edema around the eye and face (myxedema), Intolerance to cold, dry and scaly skin, sparse hair, brittle nails
  • Digestive: anorexia, constipation
  • Diagnostic Exams: low Serum T3 and T4, elevated Serum cholesterol, decreased RAIU

Etiology and Risks Factors:

  • Congenital defects of thyroid (cretinism)
  • Defective hormone synthesis
  • Iodine deficiency
  • Anti-thyroid drugs
  • Chronic inflammatory diseases

Nursing Interventions:

  • Monitor vital signs including heart rate and rhythm, monitor I and O, weigh daily
  • Observe for edema and signs of cardiovascular complications
  • Administer thyroid replacement: Levothyroxine Na (Synthroid) and observe signs of thyrotoxicosis (tachycardia, diarrhea, palpitations, nausea and vomiting, sweating, tremors, agitation and dyspnea)
  • Provide comfortable and warm environment
  • Instruct client in low-calorie, low cholesterol and low fat diet.
  • Institute measures to prevent skin breakdown
  • Provide increased fluids and foods high in fiber to prevent constipation
  • Instruct client to take thyroid hormone replacement in moring to prevent insomia

Medical Management:

  • Drug therapy: levothyroxine (Syntheroid), thyroglobulin (Proloid), dessicated thryroid liothyronine (Cytomel)
  • Correct Thyroid deficiency
  • Reverse manifestation
  • Prevent cardiac complications

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Cleansweep RN
The Critical Care Nurses Association of the Philippines Inc. (CCNAPI), invites all interested Nurses to join their montly Nursing Trainings and Seminar Updates on the following dates. CCNAPI is currently accepting registrants for JANUARY 2009 Schedule.

Please be reminded that the venue of the said activity will be held at the new CCNAPI venue at Edificio Enriqueta Building, N.S Amoranto, corner D. Tuazon, Room 3D. For questions and clarifications about the venue please do call the support staffs at 426-4394 or 925-2401 loc 3823 at their office at the Philippine Heart Center, please also visit their extension website at ccnapi.multiply.com.

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Cleansweep RN
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Christmas is not a time nor a season,but a state of mind. To cherish peace and goodwill, to be plenteous in mercy, is to have the real spirit of Christmas. Somehow, not only for Christmas, But all the long year through, The joy that you give to others, Is the joy that comes back to you. And the more you spend in blessing, The poor and lonely and sad, The more of your heart’s possessing, Returns to you glad.

May this Christmas end the present year on a cheerful note and make wayfor a fresh and bright new year. Here’s wishing you a

Merry Christmas and a Happy New Year!


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