chăm sóc bệnh nhân basedow biến chứng nặng
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CHAM SOC BENH NHAN BASEDOW
BIEN CHUNG NANG
Khoa Noi tiet-Dai thao duong
Benh vien Bach Mai
Morbus Basedow = Glotzaugenkrankheit
Morbus Basedow = Glotzaugenkrankheit
Disorders of the Thyroid Gland
PG. 951
•
Thyroid disorders include hyperthyroidism,
thyrotoxic crisis, hypothyroidism, thyroid
tumors, and endemic and multinodulal
goiters.
Hyperthyroidism
•
Also called Graves disease, Basedow’s
disease, thyrotoxicosis, or exophthalmic
goiter.
•
May be autoimmune or inherited disease.
•
Symptoms are from mild to severe
•
Restless despite feeling fatigued and weak,
highly excitable, and constantly agitated
•
Fine tremors of the hands occur, resulting in
unusual clumsiness ( 56-4)
Graves Disease
Hyperthyroidism
•
Cannot tolerate heat, and experience an
increased appetite with weight loss.
•
Diarrhea also occurs.
•
Visual changes, such as blurred or double
vision, can develop.
•
Exophthalmos, seen in client with sever
hyperthyroidism, is due to enlargement of
muscle and fatty tissue that surrounds the rear
& sides of the eyeball
•
S/s in Table 56-1 PG 952
Hyperthyroidism
Nursing Management
•
Monitor heart rate and BP
•
Record sleep pattern and daily weight
•
May take several weeks before thyroid
medication effective.
•
If radioactive iodine is used to destroy
thyroid tissue, tell the client that it does not
seriously affect other tissues.
Thyrotoxic Crisis
•
Nursing Management: Pt is acutely ill!!
•
Monitor V/S esp. the temperature (may
require measures other than antipyretics
such as cooling blankets or the application
of ice).
