Question

Questions 4, 5 and 6

THE NERVOUS AND ENDOCRINE SYSTEMS Client Profile 8 (8 Ib) and was 50 em (20 in.) long when she was born. At diagnosed with congenital hypothyroidism. She is now 2 months of age, she was hes with her mother and two siblings. Since her diagnosis she has yroxine. She sees her pediatrician every 6 months for ago her dosage was increased to 125 meg once e enjoys school and earns a "B" average. For the past month Andrea difficulty in school and her mother notices that Andrea is irritable e keeping her attention focussed on tasks that normally would not with ears old and lives with her mother a been treated with p and at her visit 6 weeks every day. Sh has experien catise any diff pediatrician. ficulty. She has problems sleeping and for the past week has experi- bouts of diarrhea. Her mother makes an appointment with Andrea's Case Study Andrca is brought to the pediatrihan's officeby her mother. The office nurse greets er mother and notes that Andrea is fidgety and has difficulty focusing s questions. Andrea's vital signs are: Temperature, 378 C (100° F): Puse 120 beats/minute; respirations, 28 breaths/minute; and blood pressure, 112.5 cm (45 in.) tall. Her mother explains that iarhea for the past week. During the nursing history, Andrea's mother tells the nurse about the other changes that she has noted in her daughter Andrea isb on the nurse's 116/76. She weighs 55 lb and is over the past month. Questions 8. The safe dosage range of levothyroxine is 4-5 mcg/kg per day. Is Andrea's currently 、ngen ital 2. hypoth 3. Whatis the incide roidism and why is it important to diagnose this condition as sopn as possible after birthfestations to the pediatrician's attention earlier 4. Discuss the significance of Andrea's clinical manifestations and their possible causes. 5. Discuss the significance of Andrea's vital signs 6. What other assessment data would be helpful precribed dosage safe for her? Yes 9. Discuss your impressions of why Andrea's mother did not bring Andrea's other clinical mani- congenital hypothy 10. How do you anticipate the pediatrician will treat Andrea's current condition? 11. Discuss the teaching priorities for Andrea and her mother prior to discharge from the office today fore the nurse to have to prepare Andrea's care plan? 7 What are the priorities of care for Andrea during this office visit?

Answer 1

1. What is congenital hypothyroidism?

Inadequate thyroid hormones production in newborn.

2. Clinical manifestation:

Shunted growth

Short stature

Increase in head size

Dentition is delayed

Thick and broad tongue protrusion

Skin dry and scaly

3. Incidence:

Incidence about 1:3000 to 1: 4000

Its important to diagnosis because it may cause severe diseases like inborn error in metabolism, iodine deficiency, cretinism and mental retardation.

4. As per clinical situation,

Initially Andrea had Drowsiness, inactive this indicates the sign of hypothyroidism.

Where after the dose of 125mcg of levothyroxin she had sign of hyperthyroidism like, diarrhea, irritability, restlessness it indicated the sign of hyperthyroidism due to increased dose of levothyroxine.

As HOMEWORKLIB RULES rule I answered 4 questions.