Summary

338 views
277 views

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
338
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
2
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Summary

  1. 1. Nutrition and Metabolism Dysfunction: Thyroid and Adrenal Disorders Bringing it all together!
  2. 2. Hyperthyroidism <ul><li>The signs and symptoms are mainly a result of what two things? </li></ul><ul><ul><li>Hyper-metabolism </li></ul></ul><ul><ul><li>Overly sensitive sympathetic nervous system </li></ul></ul>
  3. 3. TSH LEVELS The body senses that there is too much thyroid hormone and via the negative feedback loop, inhibits secretion of TSH.
  4. 4. Thyroid/Adrenals <ul><li>What would be the implications for removal of the pituitary gland? </li></ul><ul><li>The hypothalamus and anterior pituitary are integral to the hormone cascade and negative feedback process! </li></ul><ul><li>Would need replacement of both steroids and thyroid hormone </li></ul>
  5. 5. Thyroid Hormone Replacement <ul><li>Why was Mr. Bill Loney on the same home going medications that Kathy Twohy takes? </li></ul><ul><li>Bill was put into a hypothryoid state via removal of his thyroid gland. Kathy was put into a hypothyroid state by autoimmune destruction of her thyroid gland and therefore both needed replacement. </li></ul>
  6. 6. Hypothyroidism <ul><li>Give a description of a patient who has obvious hypothyroidism (clothes, hair, face, gender, speech patterns) </li></ul><ul><li>Jacket, thin hair, thick tongue and facial edema, slow/slurred speech, female, lethargic and forgetful </li></ul>
  7. 7. Thyroid Storm <ul><li>What is the most dangerous aspect of thyroid storm? </li></ul><ul><li>Massive sympathetic outflow and the cardiac implications of it </li></ul>
  8. 8. Addisonian Crisis <ul><li>What are three things a patient with Adrenocortical insufficiency should never leave home without? </li></ul>1. Med alert bracelet 2. IM Cortisone (syringe/medication) 3. Card with a list of current meds/dosages and what to do in case of an emergency
  9. 9. Other questions… <ul><li>What do we call the cluster of signs and symptoms that we expect to see for a patient on high doses of Prednisone or other corticosteroids? </li></ul><ul><li>Cushing’s Syndrome </li></ul>
  10. 10. Questions <ul><li>What questions/clarifications do you have or need from the modules? </li></ul>
  11. 11. Parathyroid gland
  12. 12. Purpose: Maintain calcium and phosphorus balance <ul><li>Parathyroid hormone maintains an adequate amount of calcium in the blood </li></ul><ul><li>Major cause of hyperparathyroidism: benign parathyroid tumor </li></ul>
  13. 13. Hyper-parathyroidism <ul><li>Will have increased levels of calcium in the serum </li></ul><ul><li>Loss of calcium from bones </li></ul><ul><ul><li>Bone fractures </li></ul></ul><ul><li>Altered cardiac electrical conduction </li></ul><ul><li>Changes in personality, fatigue </li></ul><ul><li>Increased blood clotting </li></ul><ul><li>Risk for kidney stones </li></ul><ul><li>Decreased reflexes </li></ul><ul><li>GI concerns: ↓peristalsis </li></ul><ul><ul><li>Increased gastrin hormone secretion </li></ul></ul>
  14. 14. Treatment <ul><li>Parathyroidectomy is the most common treatment </li></ul><ul><ul><li>May be hypocalcemic immediately after surgery </li></ul></ul><ul><ul><li>May need life time calcium and vitamin D replacement </li></ul></ul>

×