Hyperthyroidism - Assessment and Nursing Diagnosis

Hyperthyroidism is a condition in which the thyroid gland makes too much thyroid hormone. The condition is often referred to as an "overactive thyroid."

Causes of Hyperthyroidism

• Hyperthyroidism occurs when the thyroid releases too much of its hormones over a short (acute) or long (chronic) period of time. Many diseases and conditions can cause this problem, including:
• Getting too much iodine
• Graves disease (accounts for most cases of hyperthyroidism)
• Inflammation (thyroiditis) of the thyroid due to viral infections or other causes
• Noncancerous growths of the thyroid gland or pituitary gland
• Some tumors of the testes or ovaries
• Taking large amounts of thyroid hormone

Symptoms of Hyperthyroidism

• Palpitations
• Heat intolerance
• Nervousness
• Insomnia
• Breathlessness
• Increased bowel movements
• Light or absent menstrual periods
• Fatigue
• Fast heart rate
• Trembling hands
• Weight loss
• Muscle weakness
• Warm moist skin
• Hair loss
• Staring gaze

Assessment for Hyperthyroidism

1. Health Perceptions
Knowledge of the disease and the side effects of drugs.

2. Metabolic Nutrition
Changes in food intake, such as appetite and increases food intake, body weight decreased.

3. Elimination
Changes in fecal elimination, increased frequency of bowel movements or many times. Every meal tend to defecate, urine in large quantities.

4. Activity and Exercise
Experiencing chest pain / angina, tachycardia despite the break, dysrhythmias, and murmur, dyspnea experienced during the activity / rest muscle weakness, severe accidents, muscle atrophy.

5. Rest and Sleep
Insomnia.

6. Cognitive Sensory
Complained of impaired vision rapid eye fatigue, blurred vision, orbital pain, exophthalmos.

7. Coping Mechanisms
Emotional instability, experiencing severe stress both emotional and physical, psychological conditions.

8. Sexual Relations
Decreased libido, hipomenorea, amenorrhoea and impotence.

9. Self-Concept
Less confident because of physical changes such as the eye.


Nursing Diagnosis for Hyperthyroidism

1. Decreased Cardiac Output
2. Fatigue
3. Disturbed Thought Processes
4. Imbalanced Nutrition
5. Anxiety
6. Impaired Tissue Integrity
7. Knowledge Deficit

Nursing Care Plan Disturbed Thought Processes - Hyperthyroidism

Hyperthyroidism is when a lot of bodily hormone is made via an overactive Thyroid. Listed below are several of the general causes of hyperthyroidism: Unhealthy diet, Medications, Cancers, Having a baby as well as an auto-immune disease called Graves Disease. Indications of an overactive thyroid gland include losing weight, shakes, tremors, elevated perspiration, a regular feeling of getting very hot, insomnia, accelerated frequency of bowel motions, Pre Menstrual Tension, bigger menstruating flow, a pounding heart, goiter and protruding eyeballs. Mental health and emotional alterations such as despression symptoms, waves of rage, hostility, panic symptoms and sleepiness are also typical in the case of an overactive human gland.

Common physical findings are tachycardia and a bounding pulse with a wide pulse present with forceful apical pulse and a systolic ejection murmur due to increased flows. Cardiac arrhythmias are common, particularly supraventricular tachycardia and atrial fibrillation. Atrial fibrillation occurs in 10% to 20% of patients with hyperthyroidism. Therefore, thyrotoxicosis should always be suspectedin patients with atrial fibrillation and the thyroid function should be checked. Findings of hyperthyroidism: tachycardia, bounding pulse, forceful apical impulse, widened pulse pressure, and systolic ejection murmur. Cardiac arrhythmias are common, especially atrial fibrillation. Thyrotoxicosis in patients with atrial fibrillation.

Treatment of underlying hyperthyroidism usually leads to reversal of cardiac symptoms. If atrial fibrillation is present, the risk of embolization is high and anticoagulation should be instituted. Cardioversion should not be attempted until a euthyroid state is achieved.

Nursing Diagnosis for Hyperthyroidism

Disturbed Thought Processes related to physiological changes, increased CNS stimulation / quicken mental activity

Expected outcomes:

• Maintain reality orientation generally
• Recognizing the change in thinking / behavior and causes

Nursing Intervention:

• Assess the patient's thought processes, such as memory, attention span, orientation to place, time or person
• Note the change in behavior
• Present at reality are continuously and clearly without a fight illogical thoughts
• Provide a safe measures such as bearing on enghalang bed, soft binding tight supervision
• Encourage your family or someone close to other woods to visit paisen. Provide support as needed.

collaboration

• Giving sedatives as indicated