HYPERTHYROIDISM

SIWESREPORTFROMWORLDBANKHEALTHCENTRE,UMUAHIA

BYAWULOTU GRACE AKUCHINYERE

MATNO:2017/110713/REGULAR

DEPARTMENTOFNURSINGSCIENCE
FACULTYOFHEALTHSCIENCESABIASTATEUNIVERSITY
INPARTIALFULFILLMENTTOTHE
COURSENSC404COMMUNITYHEALTHFORTHEAWARD
OFBACHELOROFNURSINGSCIENCE

JANUARY2023
INTRODUCTION
Hyperthyroidism is a pathological disorder in which
excess thyroid hormone is synthesised and secreted by
the thyroid gland. It is characterised by normal or high
thyroid radioactive iodine uptake (thyrotoxicosis with
hyperthyroidism or true hyperthyroidism
DEFINITION

Hyperthyroidism is a condition that occurs due to

excessive production of thyroid hormones by the thyroid
gland
CAUSES

Many diseases and conditions can cause hyperthyroidism,

including:
• Graves disease
• Inflammation (thyroiditis) of the thyroid due to viral
infections, some medicines, or after pregnancy (common)
• Taking too much thyroid hormone
• Noncancerous growths of the thyroid gland or pituitary
gland
• Eating too much of foods that contain iodine
RISK FACTORS

• Age
• Gender
• Ethnic background
• Medical conditions
• Recent pregnancy
• Past thyroid surgery
CLINICAL MANIFESTATIONS
• Fatigue
• Frequent bowel movements
• Goiter (visibly enlarged thyroid gland)
• Hair loss
• Hand tremor
• Heat intolerance
• Increased appetite
• Increased sweating
• Irregular menstrual periods in women
• Nail changes (thickness or flaking)
• Nervousness
• Pounding or racing heart beat (palpitations)
• Restlessness
• Sleep problems
PREVENTION
• Control dietary intake
• Avoid smoking
• Regular check up
• Control of alcohol consumption
NURSING MANAGEMENT

• ADMISSION: Admit patient in a clean and well ventilated

room
• POSITION: place the patient in a supine position
• OBSERVATION: monitor vital signs, especially heart rate
and blood pressure (both increase in hyperthyroidism.
• DIET : provide food high in fiber and increase fluid intake .
• ACTIVITY: Encourage patient to carry out deep breathing
exercises.
• PHYSICAL CARE: protect against cold, Encourage deep
breathing exercises
• PSYCHOLOGICAL CARE: Reassure the patient and patient
relatives
• DRUGS: Give prescribed anti-thyroid medication and beta
blockers
TREATMENT BY DOCTOR
• Radioactive iodine
• Methimazole
• Thyroidectomy
• Beta blockers

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