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Category: Nursing
Study Tip: Myxedema Coma
Myxedema coma – a rare life-threatening form of hypothyroidism. It is a disorder characterized by hypoventilation, hypoglycemia, and hypotension. The client with myxedema presents with severe metabolic disorders, generalized nonpitting edema, puffy face, weakness, hypothermia, cardiovascular collapse, and coma.
Diagnostic tests: blood gases, electrolyte levels, ECG, blood sugar, and thyroid hormone levels. Intravenous fluid, electrolyte replacement, intravenous cortisol or other adrenal cortical hormone are used in the treatment. Warm blanket for low body temperature, glucose supplements for hypoglycemia.
Content area: Med-Surg | Endocrine
Study Tip: Thyrotoxicosis
Thyrotoxicosis (Thyroid Storm) – a form of severe hyperthyroidism that can be precipitated by stress, injury, or infection. It is a life-threatening emergency. Manifestations of thyroid storm include temperature above 102 degrees F (39 degrees C) – with this high temperature, all organ systems will be affected, tachycardia, abdominal pain, systolic hypertension, N/V, confusion, agitation, tremors, and possible seizures. Management of treatment requires careful follow-up by an endocrinologist. Medications include antithyroid medications and radioactive iodine.
Content area: Med-Surg | Endocrine
Critical Thinking Question
Studying, planning and getting ready for your exams. Practice some critical thinking questions as you study; get yourself ready for success!
Complications of Cirrhosis
One of the complications of cirrhosis is Hepatic Encephalopathy. This is a neurological problem resulting from too much ammonia in the blood. Medications for the treatment of Hepatic Encephalopathy include Lactulose and Neomycin.
Question:
A client is undergoing treatment for Hepatic Encephalopathy. What are two main goals (objectives) of therapeutic management for this client?
Leave your answers in the comments
Answer is on Page 2 below
Dose of Nursing 