NIGHTINGALE COLLEGE OF NURSING

SEMINAR
ON
HYPERTHYROIDISM
SUBMITTED TO: SUBMITTED BY:

_____________________ __________________

____________________ __________________

NIN NIN

DATE OF SUBMISSION: ___/___/_____

IDENTIFICATION DATA
NAME OF THE STUDENT : PRYANKA KUMARI
DATE AND TIME : _____________________
COURSE : GNM NURSING 2nd Year
SUBJECT : ____________________________
TOPIC : HYPERTHYROIDISM
VENUE : Classroom
AV-AIDS : Power Point Presentation

PREVIOUS KNOWLEDGE: Students already had knowledge regarding HYPERTHYROIDISM

 from their clinical experiences and classes.

GENERAL OBJECTIVE : At the end of the seminar ,students will be able to gain knowledge
regarding and will effectively apply it during the theoretical and clinical aspects of the nursing
profession.

SPECIFIC OBJECTIVE : At the end of the Topic students will be able to :

 Introduce the topic

 Define the topic
 Review of anatomy and physiology of hyperthyrodism
 Causes and signs and symptoms
 Pathophysiology
 Diagnosis
 Treatment
 Nursing management

TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION

 OBJECTIVES ACTIVITY/ AV AIDS

Hyperthyroidism is a
pathological disorder in
which excess thyroid
hormone is synthesised and What do you
secreted by the thyroid gland. understand by
It is characterised by normal Hyperthyroidism?
or high thyroid radioactive
iodine uptake .Thyrotoxicosis
3 without hyperthyroidism is
minute
caused by extrathyroidal
sources of thyroid hormone or
TO INTRODUCE THE TOPIC: by a release of preformed
thyroid hormones into the
circulation with a low thyroid
radioactive iodine uptake .
 Hyperthyroidism is a condition of the thyroid. The
thyroid is a small, butterfly-shaped gland located
at the front of your neck. It produces
tetraiodothyronine (T4) and triiodothyronine (T3),
which are two primary hormones that control how
2 Define the your cells use energy. Your thyroid gland regulates Student teacher discuss about the Define
minute Hyperthyroidism. your metabolism through the release of these Hyperthyroidism. Hyperthyroidism?
hormones.
 Student teacher discuss about the the Explain about the
anatomy of Hyperthyroidism. anatomy of
2 Explain the anatomy Hyperthyroidism?
minute of
Hyperthyroidism
.
2 Explain the Student teacher discuss about the the Explain about the
minute physiology of physiology of Hyperthyroidism. physiology of
Hyperthyroidism Hyperthyroidism?
 CAUSE
 Graves’ disease
 overactive thyroid nodules
 inflammation of the thyroid gland, called
thyroiditis
 too much iodine
 too much thyroid hormone medicine
 a noncancerous tumor of the pituitary
gland
3
minute
Explain cause and
signs and symptoms. SIGNS AND SYMPTOMS
Student teacher discuss about the Explain the cause and
 Fatigue cause and signs and symptoms. signs and symptoms?

 Increased sensitivity to cold

 Constipation
 Dry skin
 Weight gain
  Puffy face
 Hoarseness
 Muscle weakness
 Elevated blood cholesterol level
 Muscle aches, tenderness and stiffness
 Pain, stiffness or swelling in your joints
 Heavier than normal or irregular
menstrual periods
 Thinning hair
 Slowed heart rate
 Depression
 Impaired memory
 Enlarged thyroid gland (goiter)

RISK FACTORS:

 Are a woman
 Are older than 60
  Have a family history of thyroid disease
 Have an autoimmune disease, such as
type 1 diabetes or celiac disease
 Have been treated with radioactive iodine
or anti-thyroid medications
 Received radiation to your neck or upper
chest
 Have had thyroid surgery
 Have been pregnant or delivered a baby
within the past six months

PREVENTION
 Avoid Processed Food:
A lot of chemicals can alter the thyroid hormone production. One
needs to avoid any kind of processed food; they are on the edge of the
thyroid disorder.

3 Avoid Soy:
minute Limit the soy intake as it alters the hormone production.

Stop Smoking:
Explain The toxins released during smoking can make the thyroid gland over Student teacher discuss about the Explain the Explain
prevention ,complicat sensitive which can lead to thyroid disorders. prevention ,complications,diagnoses prevention ,complicat
ions,diagnoses and and treatments . ions,diagnoses and
Reduce Stress:
treatments . treatments .
Stress is one of the major contributors in many health disorders
including thyroid disease.
?

COMPLICATIONS
 Parathyroid insufficiency
 Respiratory obstruction
 Thyroid crises or storm
 recurrent laryngeal nerve palsy
  infection
 Hemorrhage
 Hypertrophic scar or keloid
 Progressive exophthalmos
 Recurrent throtoxicosis
 Thyroid insuffiency
 Late complications

DIAGNOSIS

 A physical exam of your neck to see if your

thyroid is larger than normal.
 Blood tests to look for high levels of thyroid
hormone in your body.
 Imaging tests to look at your thyroid.

TREATMENTs

 Radioactive iodine.You take a pill or liquid

 by mouth. It gets into your blood stream and

destroys the overactive thyroid cells .

 Anti-thyroid medicine.These drugs tell

your thyroid to produce fewer hormones.

Symptoms begin to improve in 6 to 12 weeks

as your hormone levels adjust. Treatment can

last for at least a year. This is a better option

for women who are pregnant or

breastfeeding. Talk to your doctor about

possible side effects.

 Surgery. A thyroidectomy is when the

doctor removes most of your thyroid gland.

After surgery, you likely will develop

 hypothyroidism. You can take thyroid

supplements to restore your hormone levels to

normal.

 Beta blockers. These drugs slow your heart

rate and reduce tremors and anxiety. They can

be used with other forms of treatment. You

should be able to stop taking them once your

thyroid levels return to normal.

NURSING MANAGEMENT:
 NURSING ASSESSMENT:

 History collection
 Current problem and general health history
 Family history

PHYSICAL EXAMINATION:

 General examination: Recent weight loss and

2 weight gain, fatigue, anxiety.
minutes  Skin: Lesions, Skin: lesion, infections, dehydration,
Student teacher discuss about the Explain the Explain
 Eyes: changes in vision, “floaters, halos, cataracts.
nursing management. nursing management .
Explain nursing  Cardiovascular: orthostatic hypotension,
management. claudication ?
 GI: diarrhea, increased hunger and thirst
 GU: polyurea, nocturia
 Neurologic: numbness, and tingling of extremities.

NURSING MANAGEMENT:
 Monitor vital signs, especially heart rate and blood
pressure (both increase in hyperthyroidism)
 Ask if the patient has chest pain (Due to increased
 heart work)
 Listen to the heart for murmurs
 Obtain ECG (atrial arrhythmias may occur in
hyperthyroidism)
 Teach the patient to relax
 Administer medications as prescribed (beta-
blockers)
 Check intake and output (diarrhea is a common
feature in hyperthyroidism)
 Weigh patient daily
 Administer antithyroid medications as prescribed
 Educate patient about thyroid surgery
 Educate patient on radioactive iodine and how it
can destroy the thyroid gland
 Provide oxygen if the saturation is less than 94%
 If the patient has a fever, provide a cooling blanket
 Check thyroid function labs

BIBLIOGRAPHY:
 Brunner and Suddarth’s ,textbook of
medical- surgical nursing page no 1254-
1278,