What is the most appropriate nursing management for patients with hyperthyroidism?
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The American Journal of Nursing Vol. 46, No. 11 (Nov., 1946) , pp. 773-775 (3 pages) Published By: Lippincott Williams & Wilkins https://doi.org/10.2307/3457047 https://www.jstor.org/stable/3457047 Journal Information The American Journal of Nursing (AJN) is the oldest and largest circulating nursing journal in the world. The Journal's mission is to promote excellence in professional nursing, with a global perspective, by providing cutting edge, evidence-based information that embraces a holistic perspective on health and nursing. Clinical articles focus on acute care, health promotion and prevention, rehabilitation, emergencies, critical care, home health care, etc. Columns present additional perspectives on clinical care, such as ethics, the law, practice errors, pain and symptom management, and professional issues. Publisher Information Wolters Kluwer Health is a leading provider of information for professionals and students in medicine, nursing, allied health, pharmacy and the pharmaceutical industry. Major brands include traditional publishers of medical and drug reference tools and textbooks, such as Lippincott Williams & Wilkins and Facts & Comparisons; electronic information providers, such as Ovid Technologies, Medi-Span and ProVation Medical; and pharmaceutical information providers Adis International and Source®. Wolters Kluwer Health is a division of Wolters Kluwer, a leading multi-national publisher and information services company with annual revenues (2005) of €3.4 billion and approximately 18,400 employees worldwide. Wolters Kluwer is headquartered in Amsterdam, the Netherlands. Its depositary receipts of shares are quoted on the Euronext Amsterdam (WKL) and are included in the AEX and Euronext 100 indices. Rights & Usage This item is part of a JSTOR Collection. Hyperthyroidism is diagnosed using:
If blood tests indicate hyperthyroidism, your doctor may recommend one of the following tests to help determine why your thyroid is overactive:
TreatmentSeveral treatments for hyperthyroidism exist. The best approach for you depends on your age, physical condition, the underlying cause of the hyperthyroidism, personal preference and the severity of your disorder. Possible treatments include:
Graves' ophthalmopathyIf Graves' disease affects your eyes (Graves' ophthalmopathy), you can manage mild signs and symptoms by using artificial tears and lubricating gels and by avoiding wind and bright lights. If your symptoms are more severe, your doctor may recommend treatment with corticosteroids, such as prednisone, to reduce swelling behind your eyeballs. Two drugs — rituximab (Rituxan) and teprotumumab — are being used to treat Graves' ophthalmopathy, even though there isn't a lot of definitive evidence yet to prove that they're effective. Teprotumumab received fast-track approval from the Food and Drug Administration based on one small study. More study of both drugs as a treatment for Graves' ophthalmopathy is needed. In some cases, a surgical procedure may be an option:
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information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. Lifestyle and home remediesOnce you begin treatment, symptoms of hyperthyroidism should subside and you should start feeling much better. However, your doctor may recommend that you watch out for iodine in your diet because it can cause hyperthyroidism or make it worse. Kelp, dulse and others types of seaweed contain a lot of iodine. Cough syrup and multivitamins also may contain iodine. Graves' diseaseIf you have Graves' ophthalmopathy or dermopathy, the following suggestions may help your eyes or skin:
Coping and supportIf you've been diagnosed with hyperthyroidism, the most important thing is to receive the necessary medical care. After you and your doctor have decided on a course of action, there are some things you can do that will help you cope with the condition and support your body during its healing process.
Preparing for your appointmentYou'll likely start by seeing your primary care doctor. However, in some cases, you may be referred immediately to a doctor who specializes in the body's hormone-secreting glands (endocrinologist). If you have eye involvement, you may also be referred to an eye doctor (ophthalmologist). It's good to prepare for your appointment. Here's some information to help you get ready for your appointment, and to know what to expect from your doctor. What you can do
Preparing a list of questions will help you make the most of your time with your doctor. For hyperthyroidism, some basic questions to ask your doctor include:
Don't hesitate to ask any other relevant questions you have. What to expect from your doctorYour doctor is likely to ask you a number of questions, including:
Nov. 14, 2020 What are the nursing management of hyperthyroidism?Nursing Interventions
Obtain weight daily. Provide a high-calorie diet. Avoid the administration of stimulants. Administer antithyroid medications (propylthiouracil [PTU]) that block thyroid synthesis, as prescribed.
What is the most appropriate treatment for hyperthyroidism?Medicines called thionamides are commonly used to treat an overactive thyroid. They stop your thyroid producing excess hormones. The main types used are carbimazole and propylthiouracil. You'll usually need to take the medicine for 1 to 2 months before you notice any benefit.
What is the most important nursing intervention for a client with hypothyroidism?Nursing interventions for a patient with hypothyroidism include the following: Promote rest. Space activities to promote rest and exercise as tolerated. Protect against coldness.
What is the first treatment for hyperthyroidism?Beta blockers — Beta blockers, such as atenolol or propranolol, are often started as soon as the diagnosis of hyperthyroidism is made. While beta blockers do not reduce thyroid hormone production, they can control many of the bothersome symptoms, such as rapid heart rate, tremors, anxiety, and heat intolerance.
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