Hyperthyroidism Assessment
- Heat Intolerance
- Exophthalmos
- Warm, Moist Skin and Silky Hair
- Tremors
- Goiter
- Diarrhea
- Weight Loss
- Tachycardia
- Hypertension
- Amenorrhea
- Decreased TSH with Elevated Free T4
- Radioactive Iodine Uptake (RAIU)
Hyperthyroidism Interventions
- Propylthiouracil (PTU)
- Methimazole (Tapazole)
- Iodine
- Beta Blockers
- Radioiodine Ablation
- Thyroidectomy
- Thyrotoxicosis
- Post-Surgery Hypocalcemia
Hypothyroidism Assessment
- Weight Gain - Edema
- Lethargy
- Cold Intolerance
- Bradycardia
- Hypertension
- Brittle Nails and Dry Skin
- Constipation
- Goiter
- Prolonged Menses
- Slowed Thinking
- Decreased Free T4
- Increased TSH
Hypothyroidism Intervention
- Levothyroxine (Synthroid)
- Liothyronine (Cytomel)
- Myxedema Coma
- Lifelong Replacement Hormone
- Monitor Vital Signs
- Fluids and Fiber
- Low Calorie, Low Fat Diet
- Medication Education
- No Switching Brands
Hashimoto's Thyroiditis
- Hypothyroidism with Bouts of Hyperthyroidism
- Enlarged, Nontender Thyroid
- Autoimmune
- Anti-Thyroid Peroxidase (TPO)
- Anti-Thyroglobulin
- Hurthle Cells
- Lymphoid Follicles
- HLA-DR5 and HLA-DR3
- Increased Risk Of Non-Hodgkin Lymphoma
Thyroid Storm Causes
- Sepsis
- Thyroid Trauma
- Surgery
- Childbirth
- Grave's Disease
- Excessive Thyroid Hormone Ingestion
- TSH-secreting Tumors
- Hyperfunctioning Goiter or Nodule
- McCune Albright Syndrome
Thyroid Storm
- Diarrhea
- Liver Failure
- Insulin Resistance
- Tachycardia
- Lid lag
- Change in LOC (Altered Mental Status)
- High fever
- Propranolol (Or Esmolol)
- PTU (Thionamides) Initially
- Iodine Solution (Lugol Iodine)
- Glucocorticoids
- Cooling Blanket
Thyroid Nodule Assessment
- Thyroid-Stimulating Hormone (TSH)
- Ultrasound
- Fine Needle Aspiration
- Most Accurate Test
- Radioactive Iodine Uptake (RAIU)
- Hot Nodules Rarely Malignant
- Free T3 and T4
- Repeat Ultrasound 6 -18 Months
Anaplastic Thyroid Cancer
- Rapidly Progressive
- Poor Prognosis
- Hoarseness
- Invades Local Structures
- Mixed Morphology
- Multinodular Goiter
- Older Age
- History of Thyroid Disease