What medication would the nurse anticipate for the treatment of hypothyroidism?
Congenital hypothyroidism (CH) is inadequate thyroid hormone production in newborn infants. Show
What is Congenital Hypothyroidism?Thyroid gland location | Harvard Health
PathophysiologyThe thyroid gland develops from the buccopharyngeal cavity between 4 and 10 weeks’ gestation. A 6-week-old infant with symptoms of jaundice due to hypothyroidism. Supplemental thyroid therapy was given and the patient appeared to be a healthy baby at the age of 1. | Centers for Disease Control and Prevention
Statistics and IncidencesCH is the most common neonatal endocrine disorder, and historically, thyroid dysgenesis was thought to account for approximately 80% of cases. A closeup photo showing myxedematous facies, macroglossia, and skin mottling.
Clinical ManifestationsThe physical findings of hypothyroidism may or may not be present at birth. A photo showing abdominal distension and umbilical hernia.
Assessment and Diagnostic FindingsDiagnosis of primary hypothyroidism is confirmed by demonstrating decreased levels of serum thyroid hormone (total or free T4) and elevated levels of thyroid-stimulating hormone (TSH). A 3-month-old infant with untreated Congenital Hypothyroidism. The infant displays hypotonic posture, myxedematous facies, macroglossia, and umbilical hernia.
Medical ManagementThe thyroid hormone must be replaced as soon as the diagnosis is made. The goal of treatment in congenital hypothyroidism is to correct hypothyroidism and ensure normal growth and neuropsychological development. (A) Before Treatment: Dull-looking face, puffed up, and protruded tongue. (B) After treatment: Alert-looking face, less swelling, and normal appearance of tongue. | The Medical Blog
Pharmacologic ManagementThe drug of choice for CH is only Levothyroxine.
Nursing ManagementNursing care of a child with congenital hypothyroidism include the following: Nursing AssessmentAssessment of a child with congenital hypothyroidism include: Untreated Congenital Hypothyroidism
Nursing DiagnosisBased on the assessment data, the major nursing diagnosis for congenital hypothyroidism are:
Nursing Care Planning and GoalsMain Article: 3 Hypothyroidism Nursing Care Plans The major nursing care planning goals for congenital hypothyroidism are:
Nursing InterventionsThe nursing interventions are:
EvaluationGoals are met as evidenced by:
Documentation GuidelinesDocumentation in a child with congenital hypothyroidism include:
Practice Quiz: Congenital HypothyroidismHere’s a 5-item quiz for Congenital Hypothyroidism study guide. Please visit our nursing test bank page for more NCLEX practice questions. 1. The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician’s teaching by telling the parents that: A. The medication will be needed only during times of rapid growth. 1. Answer: D. The medication will be needed throughout the child’s lifetime.
2. Ruby is receiving thyroid replacement therapy develops the flu and forgets to take her thyroid replacement medicine. The nurse understands that skipping this medication will put the client at risk for developing which of the following life-threatening complications? A. Exophthalmos 2. Answer: C. Myxedema coma.
3. The physician orders laboratory tests to confirm congenital hyperthyroidism in a female client with classic signs and symptoms of this disorder. Which test result would confirm the diagnosis? A. No
increase in the thyroid-stimulating hormone (TSH) level after 30 minutes during the TSH stimulation test. 3. Answer: A. No increase in the thyroid-stimulating hormone (TSH) level after 30 minutes during the TSH stimulation test.
4. A newborn has been diagnosed with hypothyroidism. In discussing the condition and treatment with the family, the nurse should emphasize: A. They can expect the child will be mentally retarded. 4. Answer: B. Administration of thyroid hormone will prevent problems.
5. A nurse is giving discharge instructions to the caregivers of a patient who is taking levothyroxine (Synthroid). The nurse instruct the client to notify the physician if which of the following occurs? A. Cold intolerance 5. Answer: B. Tremors
What is the medication used to treat hypothyroidism?An underactive thyroid (hypothyroidism) is usually treated by taking daily hormone replacement tablets called levothyroxine. Levothyroxine replaces the thyroxine hormone, which your thyroid does not make enough of. You'll initially have regular blood tests until the correct dose of levothyroxine is reached.
Which medication is most well recognized as a cause of hypothyroidism?Lithium is used to treat bipolar disorder. Hypothyroidism caused by lithium is most likely to happen in the first 2 years of lithium treatment. It's also more likely to occur in women who are more than 45 years old. In fact, the older you are, the more likely you are to experience hypothyroidism after taking lithium.
What nursing interventions would be appropriate for a patient who has hypothyroidism?Nursing interventions for a patient with hypothyroidism include the following:. Promote rest. ... . Protect against coldness. ... . Avoid external heat exposure. ... . Mind the temperature. ... . Increase fluid intake. ... . Provide foods high in fiber.. Manage respiratory symptoms. ... . Pulmonary exercises.. What are the medications recommended for the treatment of hyperthyroidism and hypothyroidism?Anti-thyroid medications include methimazole and propylthiouracil. Symptoms usually begin to improve within several weeks to months. Treatment with anti-thyroid medicine typically lasts 12 to 18 months.
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