75-year-old woman is taken to the ER following an
incident where she is diagnosed with myxedema. Doctors quickly move
her to the ICU, where she is monitored continuously for heart rate
changes, changes in cognition, and level of consciousness. She
appears to be cold and has decreased respirations, hypotension, and
hypoglycemia.
State three factors for evaluation of the treatment plan. This
information must include how diagnosis is made and what factors are
most important to watch for after the patient leaves the hospital.
You will need to defend your answer using specific facts, data, and
other information drawn from the textbook and at least one other
supplemental source.
For evaluation of the treatment plan of myxedema, she is monitored for factors like heart rate changes, changes in cognition, and level of hypoglycemia. The diagnosis was made based on symptoms like hypothermia, decreased respirations, hypotension, and hypoglycemia. Although TSH and T4 levels are checked to confirm the diagnosis, the initial diagnosis is based on a physical exam. Other symptoms checked for myxedema crisis from severe hypothyroidism include dry skin, sparse hair, swelling of face and legs, goiter, thyroidectomy scar, and confusion. Post-discharge factors to be monitored include thyroid hormone levels; fatigue; sweating, palpitations, weight; swelling of hands, face, or feet; irregular heartbeat; and confusion. A healthy lifestyle should be followed with a low-calorie high-fiber diet and exercise. Thyroid hormone has a significant role in cell metabolism, low levels can slow down metabolism and affect oxygen use in the body. This will have a negative impact on all body systems and processes.
Reference:
1. https://www.healthline.com/health/myxedema#complications
2. https://www.saintlukeskc.org/health-library/discharge-instructions-hypothyroidism-and-myxedema
75-year-old woman is taken to the ER following an incident where she is diagnosed with myxedema....
Case Scenario: A 75-year-old woman is taken to the ER following an incident where she is diagnosed with myxedema. Doctors quickly move her to the ICU, where she is monitored continuously for heart rate changes, changes in cognition, and level of consciousness. She appears to be cold and has decreased respirations, hypotension, and hypoglycemia. Question: Explain the mechanisms primary and secondary hypothyroidism.
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