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  • Hyper+&+Hypothyroid+ +patho,+s S+causes+

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    Bianca Welch
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    This document summarizes the key differences between hyperthyroidism and hypothyroidism. Hyperthyroidism is characterized by high levels of thyroid hormones T3 and T4, leading to signs and symptoms of a high metabolism including weight loss, rapid heart rate, sweating, and anxiety. Hypothyroidism is characterized by low levels of T3 and T4, leading to signs and symptoms of a slow metabolism including weight gain, fatigue, constipation, and depression. Complications of hyperthyroidism include thyroid storm, while complications of hypothyroidism include myxedema coma. Diet and treatment approaches differ based on whether the condition is causing a high or low metabolic state.

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    Med surge hyperthyroidism

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    Hyper+%26+Hypothyroid+ +Patho%2C+s s+Causes+

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    This document summarizes the key differences between hyperthyroidism and hypothyroidism. Hyperthyroidism is characterized by high levels of thyroid hormones T3 and T4, leading to signs and symptoms of a high metabolism including weight loss, rapid heart rate, sweating, and anxiety. Hypothyroidism is characterized by low levels of T3 and T4, leading to signs and symptoms of a slow metabolism including weight gain, fatigue, constipation, and depression. Complications of hyperthyroidism include thyroid storm, while complications of hypothyroidism include myxedema coma. Diet and treatment approaches differ based on whether the condition is causing a high or low metabolic state.

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    © All Rights Reserved
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    533 views1 page

    Hyper+&+Hypothyroid+ +patho,+s S+causes+

    Uploaded by

    Bianca Welch
    This document summarizes the key differences between hyperthyroidism and hypothyroidism. Hyperthyroidism is characterized by high levels of thyroid hormones T3 and T4, leading to signs and symptoms of a high metabolism including weight loss, rapid heart rate, sweating, and anxiety. Hypothyroidism is characterized by low levels of T3 and T4, leading to signs and symptoms of a slow metabolism including weight gain, fatigue, constipation, and depression. Complications of hyperthyroidism include thyroid storm, while complications of hypothyroidism include myxedema coma. Diet and treatment approaches differ based on whether the condition is causing a high or low metabolic state.

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    © All Rights Reserved
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    of 1

    Hyperthyroid / Hypothyroid

    Med Surg: Endocrine

    ENLARGED THYROID HYPERthyroidism HYPOthyroidism LOW BP

    Graves = GAINS ‘’HIGH’’ HashimOtos | LOW & SLOW


    HIGH BP

    CONSTIPATED

    EMERGENCY CONDITION:
    EMERGENCY CONDITION: Myxedema Coma (Mini hypothyroid)
    Thyroid Storm ‘’thyrotoxicosis’’ VERY Low/Slow:
    VERY HIGH = ‘’Agitation/Confusion’’ + HTN crisis! Airway, Breathing, Low BP = DEATH!

    Patho & Causes Patho & Causes

    HIGH T3 & T4 Thyroid Hormones LOW T3 & T4 Thyroid hormones


    • Too much lodine • Low Iodine, Antithyroid Treatmens
    • Too much Thyroid Med (Levothyroxine) • Pituitary Tumor NCLEX TIP
    • Autoimmune: Grave = GAINS ‘’HIGH’’ • AUTOIMUNE: HashimOtos | LOW & SLOW
    AUTOIMMUNE: Graves = GAINS ‘’HIGH’’
    Labs

    Labs LOw T3 & T4 hypO


    - HIGH TSH
    HIGH T3 & T4 HYPER “TSH always opposite of T3 & T4”
    Low—TSH
    (look at T3 & T4 levels FIRST) Signs & Symptoms

    Signs & Symptoms


    LOW & SLOW = HYPO
    HIGH & HOT! CLASSIC SIGNS
    LOW energy “fatigue, weakness, muscle pains, aches”
    CLASSIC SIGNS - NCLEX KEY WORDS
    LOW metabolism–Weight GAIN/Water Gain (Edema eyes)
    G GRAPE EYE ‘’Exophthalmos’’ LOW digestion “Constipation” NOT diarrhea
    (Use Eye patch/Tape Eyelids down) NCLEX TIP LOW HAIR LOSS “alopecia” NOT hirsutism NCLEX TIP
    LOW mental–forgetful, ALOC (altered)
    G GOLF BALLS in throat ‘’Goiter’’ NCLEX TIP
    LOW mood–depression, “apathy, confusion”
    HIGH BP-HTN Crisis 180/100+ LOW Libido–Low sex drive, infertile
    (MI,CA, Aneurysms) SLOW DRY skin turgor NCLEX TIP
    HIGH HR-Tachycardia 100+ (normal 60-100) LOW & SLOW–menstruation “irregular” NCLEX TIP
    HEART PALPITATIONS + Atrial Fibrillation NO period “missed”–Amenorrhea “AMEN no period!”
    HIGH TEMP. = NOT DRY! SLOW heavy period–Hypermenorrhea
    HOT & Sweaty Skin ‘’diaphoresis’’ (Hyper Menstruation)
    Heat Intolerance NCLEX TIP
    HIGH GI ‘’Diarrhea’’
    Critical Complication
    Critical Complication
    PRIORITY: EXTREME LOW = Myxedema Coma
    PRIORITY: EXTREME HIGH = Thyroid Storm Low RR—Respiratory FAILURE
    ”Agitation & confusion” early sign
    PRIORITY: Place “Tracheostomy Kit” by bedside NCLEX TIP
    KEY WORD: “Endotracheal Intubation set up”
    Diet Low BP & HR “hypotension” “bradycardia” (below 60)
    Low Temp. “cold intolerance” NO electric blankets
    HIGH METABOLISM
    HIGH calories (4,000–5,000 per day) NCLEX TIP
    Diet
    HIGH protein & carbs (meals & snacks)
    NOT high fiber = LOW FIBER! (unless constipated) LOW Metabolism
    NO caffeine (coffee, soda, Tea) LOW Calories
    NO spicy food LOW Energy “Frequent rest periods” NCLEX TIP

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