Patients With Newly Diagnosed Hypothyroidism And Their Caregiver

My patient is a 30-year-old mother of two who presented with symptoms of fatigue, cold intolerance, and tearfulness. She was later diagnosed with Hashimoto’s Thyroiditis six months after the birth of her second child. With the addition of a thyroid hormone, prescribed by her doctor, the patient is doing well and living an active life with her husband and two children.

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Laboratory Report/ Miranda Tefft/ Homeostatic Imbalances of Thyroid Function/ Aline Potvin/ 11.18.2014/ Page [2] of [3]

2. The subject who was diagnosed with secondary hypothyroidism was given levothyroxine (synthetic Thyroxine). After 6 weeks of

As the most interesting patient presentation, two weeks ago there was a 50-year-old Hispanic woman who came to the clinic and complained of unintentional weight gain over 28 pounds in the last two years. The patient wanted to participate in the weight loss program. Upon the physical assessment, this patient stated that her family runs thyroid disorder issues. Prior to starting the weight loss management, my preceptor and I decided to run some lab works to assess her TSH, Free T4, T3, and some other test. The patient has a follow-up appointment in the following week for her lab result. The patient lab’s result abnormal thyroid hormones. She had hypothyroidism. She stated that she had a primary physician that she had seen over 10 years, and they never told her about this problem. The plan was to treat the thyroid problem by prescribing her Armour Thyroid starting at 30 mg. According to Woo and Wynne (2015), for patients who are clinically hypothyroid, replacement therapy with thyroid hormones is

The main treatment for hypothyroidism is synthetic thyroid hormone in pill form to replace what’s missing. Depending on the reason for the slow thyroid, adding more iodine to the diet and generally eating a healthy diet can help.

The history of hypothyroidism dates way back to the 1800s; seeing the symptoms in patients, even before the disease was able to be diagnosed. Later realizing that many of the cases of cretinism, later called hypothyroidism, were largely associated with the lack in function of the thyroid. Today, also realizing that there is not only internal factors that influence hypothyroidism but also external factors that can contribute. Hypothyroidism can present itself in many different ways from no symptoms at all to organ failure, in a severe enough case. Discovering and treating hypothyroidism with medication or alternative, if the patient chooses, can be very simple after confirming diagnosis with lab results. An optimistic prognosis is usually given to patients diagnosed with hypothyroidism.

Background: An 83 year old female is taking her levothyroxine medication to help treat her thyroid disorder induced by Hashimoto. She has been taking this medication for thirty years. While always being adherent to taking her medication, she has never really understood what Hashimoto thyroiditis actually is, or why levothyroxine is the best choice of therapy for treating her hypothyroidism caused by the disease. She is also positive for hypertension, GERD, and insomnia.

The health care provider ordered blood work that included thyroid-stimulating hormone, triiodothyronine, thyroxine, and radioactive iodine uptake to confirm the diagnosis of hyperthyroidism. The labs returned with an elevated level of triiodothyronine and thyroxine, while the thyroid-stimulating hormone was decreased. There was also an

Hypothyroidism is caused by the thyroid’s gland inability to produce thyroid hormone as required by the body. The diagnosis of hypothyroidism requires the laboratory testing of the thyroid stimulating hormone known as TSH. When the TSH is found to be elevated, a clinician should repeat the test along with a free thyroxine (T4) measurement. If the TSH is found to be elevated, while the T4 is normal, the patient is said to suffer from subclinical hypothyroidism. However, if the TSH is elevated and the T4 is low, the diagnosis is primary hypothyroidism (Gaitonde et al., 2012).

Thyrotoxicosis is a clinical condition caused by excess circulating serum thyroxine (T4), triiodothyronine (T3), or both with suppression of thyroid-stimulating hormone (TSH). A negative feedback loop involving the hypothalamus, pituitary, and thyroid gland regulates the production and release of thyroid hormones. (Fig. 1) The hypothalamus releases thyroid-releasing hormone (TRH), stimulating the pituitary gland to release TSH, in turn stimulating the thyroid gland to release T4 and T3. Enhanced production of T4 and T3

The patient’s diagnosis is primary overt hypothyroidism. The patient presents with certain features such as weight gain, weakness, excessively dry flaking skin, dry hair, sluggish movements, constipation, bradycardia, diminished deep tendon reflexes, and bilateral edematous hands, which is classical signs and symptoms for primary hypothyroidism. The patient laboratory test reveals she has an elevation in serum thyroid stimulating hormone level along with low serum free thyroxin and triiodthyronine levels, which indicates it is a dysfunction or abnormality in the thyroid gland as opposed to the pituitary gland or hypothalamus (Gaitonde; Lohano; Porth, 2015, p. 780; Ross, 2014).

Starting during prenatal development and continuing throughout life, thyroid hormones pay an important role in the cardiovascular system, the relationship in which has been seen to change in the case of thyroid dysfunction. The relationship between the heart and the thyroid has been demonstrated through a series of experimental and clinical studies and the results determined that in the case of hypothyroidism parameters such as blood volume and heart rate have been seen to decrease from 100% and 72-84bpm to 84.5 % and 60-80bpm respectively. The regular measurements of both the patients cardiac output and systemic vascular resistance have also been seen to change, shifting from 4.0-6.0 L/min and 1500-1700 dyn·sec/cm-5 to <4.5 L/min and 2100-2700

Thyroid hormone deficiency in the body is risky to the malfunction of the vital organs. Alterations like lowering and slowing of the biological processes in the body are assumed by the illness. These variations may replicate those that come about with age. The symptoms associated with hypothyroidism may be difficult to describe especially in the old persons. Hypothyroidism can show different manifestations and signs, depending on the health condition, age and sex of the patient. Thus, for it to be treated appropriately, the nursing practitioner has to have the correct diagnosis (Garber, 2012). Since the disorder is more evident at old age, it is, therefore, vital for thyroid disorder among the aged to be a matter of discussion (Laurberg, 2005). Thus, this thesis aims at discussing the effects of hypothyroidism to a seventy years old male

Lithium can inhibit thyroid function. Concomitant use with iodine may have additive or synergistic hypothyroid