Diana Jene N.

Mitra
Bachelor of Science in Nursing – 3rd Year

PROJECT 1:
HYPERTHYROIDISM
DESCRIPTION ORGANS INVOLVED HORMONES INVOLVED PATHOPHYSIO SIGNS & SYMPTOMS MEDICAL MANAGEMENT NURSING
MANAGEMENT

Hyperthyroidis - Lungs  Triiodothyronin  Excessive  Insomnia  Antithyroid  Monitor

m happens - Heart e (T3) Thyroid  Restlessness medications: vital signs,
when the - Stomach  Thyroxine (T4) Hormone  Fatigue METHIMAZOLE, especially
thyroid gland - Bones Production  Irritability PROPYLTHIOURACIL heart rate
makes too much - Muscles  Autoimmune  Tremors  Radioactive iodine and blood
thyroid - Reproductive Stimulation  Nervousness ablation of the pressure
hormone. System (Graves’  Hyperactivity thyroid gland (both
(Mostly Disease)  Heat  Surgical increase in
Hyperthyroidis females)  Thyroid Intolerance Thyroidectomy hyperthyroid
m speeds up the Nodules and  Diaphoresis  Betablockers ism)
body’s Autonomous  Flushed and  Ask if the
metabolism. Function warm skin patient has
 Inflammation  Weight loss chest pain
and Thyroid despite (due to
Hormone increased increased
Release appetite heart work)
 Negative  Increased  Listen to the
Feedback vital signs heart for
Disruption  Increased murmurs
peristalic  Obtain ECG
movements  Teach the
patient to
relax
DESCRIPTION ORGANS INVOLVED HORMONES INVOLVED PATHOPHYSIO SIGNS & SYMPTOMS MEDICAL MANAGEMENT NURSING
MANAGEMENT

 Administer
medications
as prescribed
 Check intake
and output
 Weigh
patient daily
 Administer
antithyroid
medications
as prescribed
 Educate the
patient
about
thyroid
surgery
 Educate the
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
PROJECT 2:
NURSING CARE PLAN (NCP) FOR HYPERTHYROIDISM

ASSESSMENT NURSING DIAGNOSIS PLANNING NURSING INTERVENTIONS RATIONALE EVALUATION

Subjective: Fatigue related to Short-term goal: 1. Managing Cardiac  Hyperthyroidism - The patient was
I’m easily tired even if I biochemical changes symptoms can cause a able to report
have more than 8 hours secondary to (endocrine After 12 hours, the hypermetabolic decreased fatigue
of sleep disorder) patient will report state which levels and
Hyperthyroidism as decreased fatigue levels leads to an increased energy
Objective: evidenced by reported and increased energy increased levels after
Vital signs tiredness, tachycardia, levels. demand for implementing
Temp: 37℃ and increased metabolic oxygen and rest periods,
Pulse: 110 bpm rate Long-term goal: nutrients by the energy
RR: 22 body, including conservation
BP: 135/85 mmHg After 4 weeks, the the heart. techniques and
patient will 2. Preventing fatigue  Fatigue is a medication
Laboratory Findings: demonstrate improved and enhancing common administrations
- Thyroid- fatigue management energy balance symptom of - The patient was
Stimulating strategies and exhibit hyperthyroidism able to
Hormone (TSH): normal thyroid which can be demonstrate
0.01 mU/L hormone levels within related to the improved fatigue
- Free Thyroxine the reference range. hypermetabolic management
(FT4): 2,8 ng/dL state that strategies,
- Free increases the maintain
Triiodothyronine demand for medication
(FT3): 7.2 pg/mL energy in the adherence, and
body leading to exhibit thyroid
Physical Assessment: 3. Maintaining exhaustion. hormone levels
- Tremors in the adequate  Patients with within the normal
hands nutrition balance hyperthyroidism reference range
- Excessive often after 4 weeks of
sweating experience treatment and
- Mild weight loss weight loss due lifestyle
despite adequate to increased modifications
appetite metabolic rate,
- Increased bowel decreased
movements appetite, and
- Anxiety and increased
irritability nutrient
4. Reducing anxiety utilization.
and providing  Anxiety is a
emotional common
 support symptom of
hyperthyroidism
which can be
related to
hypermetabolic
state that
increases the
body’s
production of
stress hormones
such as cortisol
and the pseudo-
catecholamine
effect of thyroid
5. Maintaining hormones.
tissue integrity  Due to
alterations In
the protective
mechanisms of
the eye,
including
impaired closure
of the eyelid
and the
development of
6. Improving exophthalmos.
thought processes  Patients with
hyperthyroidism
may experience
changes in their
thought process
due to the
effects of excess
thyroid
hormone on the
brain and
7. Initiating patient nervous system.
education and  Patient
health teachings education and
 health teachings
for patients with
hyperthyroidism
include
providing
information
about the
condition, its
causes,
symptoms, and
potential
8. Administer complications
medications and  Medications
provide used for the
pharmacologic management of
support hyperthyroidism
may be
prescribed to
help regulate
thyroid
hormone levels
and alleviate the
associated
symptoms and
promote thyroid
function