ssessing clients with Graves’ disease, what should be done first?
It is an autoimmune disease which makes the thyroid gland overreact and makes more active than normal, it is the most common cause of hyperthyroidism, dermopathy, enlargement of the eyes( ophthalmopathy),
the thyroid gland is one of the important parts of the body and it is located at the front side of the neck where collar bone meets,
this gland plays an important role in maintaining the body's weight and basal metabolic rate, mood, etc, by releasing the hormones thyroxine (T3)and tri-iodothyronine ( T4) .
Symptoms of Grave's disease
NERVOUSNESS, ANXIETY, BREAST ENLARGEMENT(MALE), EYE ENLARGEMENT, HEAT INTOLERANCE, MOOD SWINGS, WEAK MUSCLE ETC ARE SEEN IN PATIENT WITH GRAVE'S DISEASE.
ASSESSMENT OF PATIENT WITH GRAVE'S DISEASE.
Assessing client with the thyroid gland should be started with physical examination and also with palpation.
it plays an important role in revealing patients thyroid enlargement and the complications related to it,
it includes the step that is
1. put one of the fingers on the midpoint of the chin
2.slightly slide down the finger and put it over Adam's apple.
3. run down your finger on the thyroid cartilage.
4. Hit circoid cartilage and also you will feel the junction of the trachea.
5. ask the client to put his neck forward and relaxed and palpate the landmarks.
6. by placing two digits of the thumb on both the side of the neck and meet the index finger at the midpoint of the neck.
7.gently separate the fingers by 1 to 2 cm laterally and also palpate lateral lobes.
8. ask the client to swallow and notice the elevation at the neck during swallowing.
9. repeat the same in the opposite direction.
the cyst may be enlarged, tender to touch and firm in other conditions such as Hashimoto's thyroid.
lab assessment that is done to identify grave's disease is a thyroid test.
the thyroid test is performed for the patient with suspected grave's disease, a lab test for t3 and t4 is done to know the number of hormones produced by the thyroid gland, if a patient is having grave's disease the thyroid level will be decreased because pituitary gland compensates with it.
but when production is not being compensated by a pituitary gland the amount of T3 and T4 will be elevated in the blood and also stimulation of TSH produces more antibodies which take part in the production of T3 AND T 4 hormones.
the first thing which is to be assessed in a client with grave's disease is the palpation of the thyroid gland and the lab values for thyroid hormones.
Graves disease
Graves Disease causes, diagnostic test treatment complications nursing implications
1. Radioactive iodine treatment is the therapy of choice in patients with Graves disease. The patient should be expected to a. achieve full recovery after treatment. b. need short-term thyroid replacement therapy. c. need lifelong thyroid replacement therapy. d. receive lifelong iodine treatment.
Two common thyroid conditions- Graves disease and Hashimoto’s thyroiditis - are autoimmune diseases. How do these two diseases differ?
Jean Fields is a 72-year-old client who has been diagnosed with hyperthyroidism due to Graves’ disease. Her husband of 52 years died of lung cancer 2 weeks ago, and she has been dealing with extreme emotional upset and grief. She has been admitted to the hospital with fatigue, weakness, fever, tachycardia, and dehydration. 2. Ms. Fields is prescribed propylthiouracil (PTU) every 8 hours. What should the nurse include in teaching Ms. Fields about this drug?
Jean Fields is a 72-year-old client who has been diagnosed with hyperthyroidism due to Graves’ disease. Her husband of 52 years died of lung cancer 2 weeks ago, and she has been dealing with extreme emotional upset and grief. She has been admitted to the hospital with fatigue, weakness, fever, tachycardia, and dehydration. 3. Ms. Fields is prescribed propranolol in addition to the PTU. She asks why two different drugs are necessary. How should the nurse respond?
Jean Fields is a 72-year-old client who has been diagnosed with hyperthyroidism due to Graves’ disease. Her husband of 52 years died of lung cancer 2 weeks ago, and she has been dealing with extreme emotional upset and grief. She has been admitted to the hospital with fatigue, weakness, fever, tachycardia, and dehydration. 1. What is a possible cause of Ms. Fields’ symptoms? What questions would the nurse need to ask Ms. Fields to help determine factors that may have...
Please help Please help answer these question Match the disease to it's feature 1. Hyperthyroid (Graves) 2. Hypothyroid 3. Hypopituitarism 4. Addisons 5. Cushing 6. Type 1 Diabetes Mellitus 7. Diabetes Insipidus Tachycardia, restlessness, exophthalmos N/V/D, fatigue, abdominal pain Fatigue, weight gain, slowed growth Low growth hormone, low gonaditropin releasing hormone obesity, weight gain, moon-face Inability of kidneys to concentrate urine d/t missing vasopressin production Pancreas no longer produces insulin. Without insulin you find hyperglycemia, ketones, increased thirst
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