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Document on Hyperthyroidism - NUR2212 - Miami Dade College

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Miami Dade College

   

Hyperthyroidism (NUR2212)

   

Added on  2020-03-04

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Hyperthyroidism is a condition in which thyroid gland produces thyroid hormones that is T4 or T3 both in excess amount. The doument covers all the aspects of Hyperthroidism, its causes, problems, precautions and cure. It is a kind of autoimmune disease that results from theover-production of the thyroid hormones in response to auto-antibodies or long acting thyroidstimulating (LATS) antibodies.

Document on Hyperthyroidism - NUR2212 - Miami Dade College

   

Miami Dade College

   

Hyperthyroidism (NUR2212)

   Added on 2020-03-04

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Running head: NURSING Nursing Name of the student:Name of the university:Authors note:
Document on Hyperthyroidism - NUR2212 - Miami Dade College_1
1NURSING 1.1Hyperthyroidism is a condition in which thyroid gland produces thyroid hormones that is T4or T3 both in excess amount. The production of thyroid hormone is comtrolled by a feedbackmechanism that is complex in nature and involves the interacton of inhibitory and stimulatoryfactors. When the TSH bind to the receptors present on thyroid gland it leads to the secretion ofthyroid hormone especially T4 and T3 is produced in less amount. The increase in the levels ofthese hormones acts on the hypothalamus which reduces the secretion of TRH and thus leads tothe synthesis of TSH (Burman, 2015).Thyrotropin-releasing hormone (TRH) that is secretedfrom the hypothalamus stimulates the pituitary gland to produce Thyroid stimulatinghormone( TSH).These thyroid hormones increase the metabolic state of the cells in the body.Generally these hormones induce the synthesis and the degradation of fats, proteins andcarbohydrates that leads to a loss of energy in the body. An increase in the level of thyroidhormone increases the rate of degradation and not the storage of body fuels (Mullur, Liu, &Brent, 2014).The blood tests of Maddy are TSH level is 0.02 mIU/L (normal range for TSH is 0.5-4.2mIU/L), Free T4 38 pmol/L (normal range for free thyroxine is 10-20 pmol/L) and Free T3 14pmol/L (normal range for free T3 is 3.5-6.0 pmol/L).Hence, she is suffering fromhyperthyroidism. The patient can face several symptoms such as skin becomes warm and soft. Itmay also lead to increae in sweating and tolerance to heat. Since, Maddy is been diagnosed withPapillary Thyroid Cancer which occurs due to an increase in the level of thyroid hormone that ishyperthyroidism. Symptoms in the patient sufffering from hyperthyroidism also includepalpitations, anxiety, hyperactivity, restlessness and irritation.
Document on Hyperthyroidism - NUR2212 - Miami Dade College_2
2NURSING Risk factors for hyperthyroidism are that Maddy can develop goitre disease. It can alsolead to atrial fibrillation which is a life threatening arrhythmia and can lead to heart stroke, heartattack, congestive heart failure and ultimately death of the a patient (Ashur-Fabian & Hercbergs2017). Since Maddy is suffering from Papillary Thyroid Cancer, the best treatment for herwould be the removal of the entire thyroid gland but she must be given medications in order toprevent hypothyroidism. If she suffers from increase in the pulse rate and sweating or anxiety,she must be given propranolol that can help in controlling these symptoms (Biondi et. al.2015).Maddy should be advised to have a well balanced diet rich in sodium or calcium which is veryeffective in controlling hyperthyroidism. Other treatment options for hyperthyroidism includedrugs that can be used to block thyroid hormone or radioactive iodine treatment. Drugs such asTapazole or methimazole play a significant role in preventing the thyroid gland from producinghormones. Radioactive iodine treatment is an effective method that aims to destroy various cellsthat produces thyroid hormones. 1.2Sincethe blood tests for Maddy are: TSH level is 4.5 mIU/L, Free T4 0.5 pmol/L and Free T30.3 pmol/L, she is suffering from hypothyroidism after the removal of thyroid gland.Thesymptoms she is experiencing after the surgery such as feeling lethargic, cold and her facefeeling puffy occurs in patients suffering from hypothyroidism. The clinical manifestations ofhypothyroidism also include low rate of metabolic processes, less movement of the body, slowspeech, intolerance to cold, constipation , decrease in heart rate and gain in weight (Carlé et al.,2015).There are various medications that can be used to control it such as levothyroxine,synthroid, and levoxyl. Thyroxine (or levothyroxine) is generally recommended as a thyroid
Document on Hyperthyroidism - NUR2212 - Miami Dade College_3

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