Autoimmune disease that affects the thyroid gland. The thyroid gland is overstimulated and produces excessive amount of thyroid hormone.
Thyroid Storm can occur due to infection/stress
Betablockers such as propanalol to lower heart rate and BP
Propylthiouracil or Methimazoles
Lugol’s solution
Oral Radioactive Iodine
You know that the client understands the plan of care when she states… Click on the right answer
No! Foods high in iodide are contraindicated in people with Graves’ Disease. Iodide causes the thyroid gland to make more thyroid hormone. I know, it is confusion since Iodine is used to supress the thyroid. But the mechanism of how Iodine works is not fully understood.
Yes!. Agranulocytosis, the reduction of a type of WBCs, can occur with PTU leading to infection. Teach the client to report s/s of infection and monitor CBC.
The client’s breathing is very noisy. What is the most important intervention you can do for this patient?
No! You will notify the surgeon, but the first priority is to have the tracheotomy tray at the bedside. Airway swelling post thyroidectomy is a possible complication. To ventilate client, an emergency tracheotomy may be needed.
Yes! This is the priority. The first intervention.
No! This is not what would help the client the most. If the client is having trouble breathing due to airway swelling, it is the tracheotomy that will save the client, not the blood gas.