ACTIVE LEARNING TEMPLATE: System Disorder

TENIKA GRAHAM
STUDENT NAME______________________________________
Manifestations of Hyperthyroidism
DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER____________

Alterations in Pathophysiology Related Health Promotion and

Health (Diagnosis) to Client Problem Disease Prevention
When blood T3 and T4 levels decrease,
hypermetabolic state thyroid？stimulating hormone (TSH) is released by
the anterior pituitary. This stimulates the thyroid
gland to secrete more hormones until normal
levels are reached

ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings hypermetabolic
Nervousness, irritability, hyperactivity, emotional
Graves’ disease (toxic diffuse goiter) is the most
common cause. Autoimmune antibodies result in
hypersecretion of thyroid hormones.
lability, decreased attention span, change in mental or
emotional status
state
Thyroiditis Weakness, easy fatigability, exercise intolerance
Toxic adenoma Muscle weakness
Toxic nodular goiter, a less common form of Heat intolerance
hyperthyroidism, is caused by overproduction of thyroid Weight change (usually loss) and increased appetite
hormone due to the presence of thyroid nodules. Insomnia and interrupted sleep
Exogenous hyperthyroidism is caused by excessive Frequent stools and diarrhea
dosages of thyroid hormone Menstrual irregularities (amenorrhea or decreased
menstrual flow) and decreased fertility
Libido decreases as the condition progresse

Laboratory Tests Diagnostic Procedures

BLOOD TSH LEVEL ULTRASOUND
THROID STIMULATING ELECTROCARDIOGRAM
IMMUNOGLOBULINS THROID SCAN

PATIENT-CENTERED CARE Complications

Nursing Care Medications Client Education hypermetabolic
Minimize the client’s energy expenditure by assisting Take the medication with meals in divided doses at
state
with activities as necessary and by encouraging the
client to alternate periods of activity with rest.
THIONAMIDES regular intervals to maintain an even therapeutic
HEMORRHAGE
Promote a calm environment. medication level. Do not stop taking abruptly.
Monitor mental status and decision-making ability.
Intervene as needed to ensure safety.
Beta Report fever, sore throat, jaundice, or bruising to
Monitor nutritional status. Provide increased calories, the provider.
protein, and other nutritional support as necessary.
Monitor I&O and the client’s weight.
adrenergic Follow the provider’s instructions about dietary
intake
blockers of iodine

Therapeutic Procedures Interprofessional Care

Radioactive iodine endocrinologist,
therapy, ablation radiologist, pharmacist,
therapyThyroidectomy and dietitian

ACTIVE LEARNING TEMPLATES Therapeutic Procedure  A11