Nurse And Physician Have Suspicions Of Patients With Rapid Heart Rate And Palpitations

1378 Words6 Pages
Stacey Vaniyapurakal
Molloy College

Case Study
Aliza Young, a 25 year old female, was admitted to the hospital with complaints of rapid heart rate and palpitations. She states that her “heart has been jumping out of her chest”. She has been feeling more anxious and irritable as well. Upon assessment, Ms. Young’s skin appears flushed, moist, and warm. Ms. Young complains of feeling “overheated” and has been sweating profusely. She feels weak, has experienced an unusual amount of weight loss, and abnormal menstruation. Both the nurse and physician have suspicions of hyperthyroidism. Patient has no family history of thyroid disease. After lab results were received, the TSH
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Grave’s disease has an effect on eight times the more women than men (Hinkle and Cheever, 2014). Toxic multinodular goiter, which presents a protrusion near the thyroid as a sign of excess thyroid hormone, and Toxic adenoma are more common to occur in areas prevalent to iodine deficiencies (Ghandour and Reust, 2011).
Thyroiditis is due to an abnormal synthesis of the hormone or excess ingestion (Burton, 2011). Hyperthyroidism can also occur due to viral infections such as a common cold, mumps and influenza.

Clinical Manifestations
Hyperthyroidism has a varying group of signs and symptoms. Because the thyroid has an effect on all functions of the body and metabolism, many things occur through They can range from nervousness to exophthalmos. The most important symptom is tachycardia. If there is an unexplained or persistent bout of tachycardia, it should be monitored carefully for any signs of other disorders or diseases. One sign of hyperthyroidism seen often is exophthalmos or proptosis, the protrusion of a single or both eye. This is an opthalmyopathy that can go along with lid lag, photophobia, diplopia and irritation (Hinkle & Cheever, 2014¬). This is due to edema in the tissues surround the eyes. Other symptoms of hyperthyroidism are palpitations, tremors, shortness of breath and dyspnea, muscle weakness, flushing, diaphoresis, irregular menstruation (amenorrhea or oligomenorrhea), hyperventilation, and increased body temperature or heat

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