NURS 371 Lecture 6: Endocrine student notes revised

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2 Nov 2016
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Care of the client with disorders of the endocrine system. __________________________________________________________: diagnostics- ultrasound, ct scan, biopsy (will determine if benign of malignant), thyroid scan (radioactive iodine injected, if uptake iodine- Weight gain, pale skin, thin, brittle fingernails, depression, Thinning hair, joint and/or muscle pain: late- slow thought process and speech, thickening of the skin, Hoarse, raspy speech, abnormal menstrual periods and decreased libido, bradycardia, myxedema-cutaneous and dermal edema resulting from proteinsadn mucopolsaccharides in the connective tissue off ace especially around eyes feet and supraclavivular area . responsible for thickened tongue: diagnostics. Tsh and fre t4 these symptoms leads to diagnosis. Lifelo(cid:374)g t(cid:396)eat(cid:373)e(cid:374)t: nursing care ___relief of s(cid:455)(cid:373)pto(cid:373)s, mai(cid:374)tai(cid:374) a euth(cid:455)(cid:396)oid state, mai(cid:374)tai(cid:374) a positi(cid:448)e self-i(cid:373)age, co(cid:373)pl(cid:455) (cid:449)ith lifelo(cid:374)g th(cid:455)(cid:396)oid (cid:396)epla(cid:272)e(cid:373)e(cid:374)t. Re(cid:373)e(cid:373)(cid:271)e(cid:396) that this disease i(cid:373)pa(cid:272)ts all the (cid:271)od(cid:455)"s s(cid:455)ste(cid:373)s-(cid:272)(cid:396)eates sluggish(cid:374)ess. Iv levothyroxine (bolus) and monitor, i&os with daily weights, treat any hypoglycemia with glucose, corticosteroids, identify precipitating factor: hyperthyroidism, patho- excessive circulating thyroid hormones hypermetabolic state, causes _(too much hormone!)

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