IODINE DEFICIENCY GOITER1

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IODINE DEFICIENCY GOITER

NURSING DIAGNOSIS AND INTERVENTIONS

weight gain due to low metabolic rate that encourages food to be stored as fat instead of burned energy ......encourage passive exercise to burn the fat, monitor weight daily

constipation  related to depressed GIT functioning evidence by patient verbalise of taking long time to the toilet........assist patient with exercise to promote bowel movement ,provide high fiber diet to patient to assist in easy peristalsis movement

feeling cold due to low iodine levels as evidence by patient wearing too much and verbalising of feeling cold..........assist patient by providing warm diet  and diet with average iodine to keep patient warm ,provide more blankets to cover patients

Fatigue due to low iodine levels in the body as evidence by patient needs assistance when doing basic needs ........assist patient with basic needs

PHARMACOLOGY

radioactive iodine used to treat an over action thyroid gland ,it is taken orally and reaches thyroid gland through blood stream destroying thyroid cell ,it diminishes the size of the goiter

surgery to remove all or partial of the thyroid gland (total or partial thyroidectomy)

asprin or corticosteroids to treat inflammation

thyroid hormone replacement with LEVOTHYROXINE will resolve the symptoms of hypothyroidism and slow releasing of THS from patient pitituary gland

observations if goiter is small,not painful,does not have problems doctor may suggest to wait and see /monitor

It depends to the severity of the goiter  eg signs and symptoms and underlying causes

CLINICAL MANIFESTATION

difficult thinking and understanding

hair loss

unexpected weight gain

fatigue

constipation

enlarged thyroid

neck lump or swelling

Main topic

AETIOLOGY

It is the swelling un the front of the neck or a goiter ,it occurs when thyroid gland is forced to make thyroid hormones when there is a low supply of iodine in the body

It is an insufficient amount of iodine in the body .

REFERENCEES :SMELZER AND BARE ,GOOGLE

HEALTH EDUCATION

if pregnant or lactating it is important to take high iodised food

avoid using too much salt use recommended dosage to avoid hypertrhyroidism not more than half a teaspoon a day.

if patient leaves near the sea must grow vegetables and fruit ,they will contain more iodine

encourage to eat sea food ,seaweed e.g. sushi

use iodized salt

high iodine diet

DIAGNOSTIC FINDINGS

a biopsy

thyroid scan

ultrasonography

A hormone test :ia a blood test that can determine the amount of hormones produced by thyroid and pituitary gland