Hypothyroidism
Slow deterioration of thyroid function, mostly in older adults. More prevent in older women. Myxedema coma is characterized by decreased mental status, hypothermia, and slowing down of organ function. Hashimoto thyroiditis is an immune disorder in which antibodies attack the thyroid gland. It may lead a goiter and hypothyroidism.
- Think slow metabolism
- Weight gain
- Extreme fatigue
- Decreased LOC
- Intolerance to cold; chills
- Constipation and nausea
- Apathy and depression
- Menstrual irregularities
- bradycardia, heart failure, hypotension
- Convulsions
- Decreased T3 and T4 levels
- Increased TSH level
- Thyroid replacement
- Education: need for life-long therapy
- Assess s/s of side of thyroid replacement such as tachycardia, chest pain, weight loss, and insomnia
- Low-calorie diet to promote weight loss
- Fiber and fluids for constipation
- Need warm environment
Let's look at the signs and symptoms again. Pay close attention to cold intolerance, weight gain, depression, and fatigue.
