Question

A patient with hypothyroidism is receiving Synthroid for hormone replacement. The nurse knows that thyroid hormones interact with certain medications.

• What are the education needs of patients requiring corticosteroids therapy?

A patient has just undergone thyroidectomy for treatment of thyroid cancer.

• For what postoperative complications should the nurse assess the patent?

You are caring for a patient with Addison disease, which results in adrenocortical insufficiency.

• What are the 3 types of hormone secreted by the adrenal cortex?
• Which hormones are involved in Addison disease?

Answer 1

ANSWER - The education needs of patients requiring corticosteroids therapy -

• Advice the patient to take medication with food to prevent stomach upset.
• Advice the patient to avoid alcohol prevent from burning sensation, pain in abdomen .
• Advice the patient to take low- salt diet or potassium rich diet.
• Advice the patient to take high protein diet.
• Advice the patient if she/ he has any allergy to any medication, any food , dyes tell to the doctor before taking this medication.

ANSWER - POSTOPERATIVE COMPLICATIONS-

• Infection
• Bleeding
• Airway obstruction
• hematoma
• hypocalcemia
• thyroid storm
• laryngeal nerve injury

ANSWER- THREE TYPES OF HORMONE SECRETED BY THE ADRENAL CORTEX;

• Steroid hormone
• Mineralocorticoids ( ex- aldosterone)
• Glucocorticoids ( cortisol and cortisone)

HORMONES INVOLVED IN ADDISON DISEASE ARE -

• Cortisol
• Aldosterone