Prior to, During and After RAI-131 Therapy

Prior to RAI-131- Therapy

1. On the first day, you’ll have 1. This injection will help Ineffective therapy >Risk for ineffective
blood tests. After those any leftover thyroid Infection therapeutic regimen
tests, you’ll see your doctor tissue absorb the management related
and get a thyrotropin alfa radioactive iodine. to insufficient
(Thyrogen®) injection knowledge of
(shot) to help you get ready condition, treatment
for your treatment. On the regimen, dietary
second day, you’ll get management, and
another thyrotropin alfa signs and symptoms
injection. After you take of complication.
this pill, you’ll have a >Risk for infection
whole-body scan. On the related to invasive
third day, you’ll have your behavior.
full dose of radioactive
iodine treatment. You’ll
have another whole-body
scan several days after your
treatment.
2. Discuss treatment plan. 2. This will educate the Deficient knowledge >Deficient knowledge
patient on the Anxiety related to disease
indications, benefits, and process and treatment
risks that he should plan.
adhere to. >Anxiety related to
disease process and
inadequate knowledge
to treatment plan.
3. Follow a low-iodine diet for 3. A low-iodine diet will If you have too much >Imbalanced
at least 1 week before you make your radioactive iodine in your diet, it nutrition: less than
start treatment iodine therapy more can stop the thyroid body requirements
effective. cells from taking up the related to intake less
radioactive iodine. than metabolic needs.
4. Plan for transportation 4. Radioactive iodine gives Radiation exposure to >Risk for acute
after treatment. off radiation. This means other people radiation syndrome
that after your treatment, Nausea related to radiation
you won’t be able to go Vomiting therapy.
home using public Diarrhea >Risk for fluid volume
transportation such as Anorexia deficit related to
buses, the subway, trains, nausea, vomiting, and
or a plane. diarrhea.
>Risk for imbalanced
nutrition: less than
body requirements
related to anorexia.
5. Instruct the patient to 5. To prevent interfering Injury >Risk for injury
remove jewelry and other with diagnostic related to treatment
metallic objects from the procedures and procedure.
area to be examined. treatment.
6. Positioning for this 6. To ensure safety and Aspiration >Risk for aspiration
procedure is in a sitting or prevent aspiration from
 supine position in front of a oral medication.
radionuclide detector.
7. Bring enough of your 7. To manage other Complications from >Ineffective
regular medicine if you are conditions. other medical therapeutic regimen
taking any. conditions. management related
to complexity of
health care.
During RAI-131 Therapy
1. Do as much of your own 1. To prevent radiation Radiation exposure >Risk for acute
personal care as possible. If exposure to other people. radiation syndrome
you need help, please call related to radiation
your nurse. therapy.
2. Your visitors will be asked 2. To avoid exposure to Radiation exposure >Ineffective
to leave. Then your nurse radiation. Correct dosing Overdose therapeutic regimen
will give you your dose of will prevent overdose and Ineffective treatment management related
radioactive iodine in your promote effectiveness of to incorrect dosing of
room. The amount you get treatment. treatment.
will be based on the results >Risk for acute
of your blood tests and radiation syndrome
scans. related to radiation
therapy.
3. Wear a hospital gown 3. To avoid any interference Injury >Risk for injury
during your entire stay. with procedure of Radiation exposure related to treatment
treatment and to avoid procedure.
radiation exposure to >Risk for acute
clothes. radiation syndrome
related to radiation
therapy.
4. Right after your treatment, 4. To monitor the Ineffective therapeutic >Ineffective
the health physicist will effectiveness of the regimen management. therapeutic regimen
monitor your radiation therapy. Radiation exposure to management related
levels with a hand-held other people. to complexity of
device. You will have to health care.
stay in your room for at >Risk for acute
least 1 to 2 hours after your radiation syndrome
treatment. related to radiation
therapy.
5. Report any signs and 5. To address the condition Nausea >Nausea related to
symptoms of side effects immediately. Pain effects of radiation
that you may feel. therapy.
>Acute pain related to
inflammation of
salivary glands.
>Deficient knowledge
related to side effects
of radiation therapy.
>Fear and Anxiety
related to deficient
knowledge to side
effects of radiation
therapy.
 >Risk for altered oral
mucous membranes
related to side effect
of radiation therapy.
After RAI-131 Therapy
1. Drink lots of liquids. 1. To eliminate the Radiation exposure >Risk for acute
Starting right after your radiation in your body. radiation syndrome
treatment, try to drink at related to radiation
least 1 cup of low-iodine therapy.
liquid every hour while >Impaired urinary
you’re awake. Keep doing elimination related to
this for 2 to 3 days after frequent urination.
your treatment.
2. Your urine will be 2. To prevent radiation Infection >Risk for acute
radioactive so urinate as exposure to other people. Radiation exposure radiation syndrome
much as you can to empty related to radiation
your bladder. Flush your therapy.
toilet atleast 3 times. Try >Risk for infection
not to get urine outside of related to harmful
the toilet. If you do get effects of radiation
urine outside of the toilet, therapy.
wear gloves and clean up it >Impaired urinary
up with an all-purpose elimination related to
cleaning disinfectant. If frequent urination.
you normally stand while
urinating, sit for 2 days
after your treatment unless
your healthcare provider
gives you other
instructions.
3. Shower and wash your hair 3. This will help remove the Infection >Risk for acute
twice a day. radiation that comes out Radiation exposure radiation syndrome
of your body through related to radiation
sweat. therapy.
>Risk for infection
related to harmful
effects of radiation
therapy.
4. Some people have a dry 4. Sour candy will also help Dry mouth >Risk for altered oral
mouth after treatment. you make more saliva so Constipation mucous membranes
Your doctor may the radioactive iodine can Diarrhea related to side effect
recommend sucking on leave your body. of radiation therapy.
hard candies to avoid this. >Risk for constipation
and diarrhea related
to irritation of GI
mucosa from
radiation therapy.
5. You might feel mild nausea 5. Side effect of radiation Nausea >Nausea related to
right after you take the therapy. Medication is effects of radiation
radioactive iodine. Your given to prevent nausea. therapy.
healthcare provider will
 give you anti-nausea
medication.
6. Swelling in your cheeks. 6. To educate patient to Pain >Deficient knowledge
This is caused by irritation alleviate anxiety and fear. Anxiety related to side effects
or damage to your salivary Fear of radiation therapy.
glands (the glands that >Acute pain related to
make your saliva) from the inflammation of
radioactive iodine. salivary glands.
>Anxiety related to
process of radiation
therapy.
7. Food might taste salty or 7. To educate patient on Imbalanced nutrition >Imbalanced
like metal after your side effects of therapy to Altered sensory nutrition: less than
treatment. This is promote optimum health perception body requirement
temporary and usually goes after therapy. Fear/Anxiety related to side effects
away within 8 weeks after of radiation therapy/
your treatment. >Disturbed sensory
perception: taste
related to side effects
of radiation therapy.
>Fear and Anxiety
related to altered
sense of taste.
8. Sleep alone for 7 days 8. To prevent radiation Radiation exposure to >Risk for acute
unless otherwise instructed exposure to other people. other people radiation syndrome
by your doctor. related to radiation
therapy.