Delfin, Kristalyn Jane R.

BSN-3Y1-IRR1

CASE STUDY: PRIMARY HYPOTHYROIDISM

Connie, age 28, has been hospitalized for 2 days for symptoms leading to the diagnosis of
primary hypothyroidism.

1. What tests does the nurse know will assist with the confirmation of diagnosis of
primary hypothyroidism for Connie?
- Serum thyroid-stimulating tests. Because of its high sensitivity, measuring serum TSH
concentration is the single best screening test for thyroid function.
- T3 and T4 serum. Total T3 and T4 levels include protein-bound and free hormone levels
that occur in response to TSH secretion.
- Antibodies against thyroid. Antithyroid antibody testing using immunoassay techniques
yields 100% positive results in Hashimoto's thyroiditis.

2. What clinical manifestations that are consistent with Connie’s diagnosis should be
monitored?
- Extreme weariness, hair loss, brittle nails, dry skin, and numbness and tingling in the fingers
are some of the clinical signs. Hoarseness, irregular menstruation, weight gain, and other
clinical symptoms may occur.

3. What comfort measures can the nurse include in Connie’s care?

- Promote relaxation. Activities that encourage rest and fitness are permitted in the area.
- Prevent the cold. Offer a blanket or an additional layer of clothes.
- Steer clear of direct sunlight and heat. Encourage utilizing an external heat source and avoid
avoiding it.
- Monitor the weather's temperature. Monitor the patient's body temperature closely.
• Sip more liquids. While maintaining fluid limitations, encourage greater fluid consumption.
- Offer meals high in fiber.
- Treat respiratory ailments. ABG, pulse oximetry, breathing depth, rate, and pattern should
all be monitored.
- Working out the lungs. Encourage spirometry incentives, coughing, and deep breathing.
- Get familiar with your immediate surroundings. Introduce the patient to the time, location,
date, and current happenings in the area.

4. Connie is ordered Synthroid 0.125 mg orally daily. What education should the nurse
provide?
- Connie should be made aware that any medicine she takes, including over-the-counter and
prescription drugs, may interfere with Synthroid. Patients who use magnesium-containing
antiacids experience decreased absorption of thyroid hormone.