Nursing Care Plan for Graves' Disease
Graves' disease is an autoimmune disease in which the thyroid is overactive, producing excessive amounts of thyroid hormone (serious metabolic imbalance known as hyperthyroidism and thyrotoxicosis) and disorder can be on the eyes and skin. Graves' disease is the most common form of thyrotoxicosis common and can occur at any age, is more common in women than men. This syndrome consists of one or more of the picture thyrotoxicosis, goitre, ophtalmopathy (exopthalmus), dermopathy (pretibial myxedema).
Signs and Symptoms:
- Weight loss.
- Dyspnea.
- Exophthalmos.
- Sweating.
- Palpitations, tachycardia.
- Diarrhea.
- Increased appetite.
- Muscle fatigue.
- Tremor (fingers and toes)
- Oligomenorrhea / amenorrhea.
- Palms hot and humid.
- Tachycardia, irregular pulse sometimes because of atrial fibrillation, pulsus celer.
- Nervous, easily aroused, anxiety, mood changes, insomnia.
- Mumps (possibly accompanied by the sound pulse and vibration).
Management
Graves' disease therapy directed at the control stage of thyrotoxicosis with antithyroid administration as propylthiouracil (PTU) or Carbimazole. The definitive treatment can be selected between the long-term antithyroid medication, radioactive iodine or detachments with bilateral subtotal thyroidectomy.
The indications for surgery are:
- Need to achieve definitive results fast.
- Multinodular goitre with hyperthyroidism.
- Objections to antithyroid.
- Solitary toxic nodule.
- Reduction with antithyroid unsatisfactory.
Nursing Diagnosis for Graves' Disease
1. Risk for decreased cardiac output
related to: uncontrolled hyperthyroidism, hypermetabolism circumstances; increase in workload of the heart; changes in venous return flow and systemic vascular resistant; changes in the frequency, rhythm and conduction of the heart.
2. Fatigue
related to: hypermetabolic with increased energy needs; sensitive stimulation of nerves in connection with disorders of body chemistry.
Supporting Data: reveal very lack of energy to maintain the usual routine, decreased performance, lability / emotional stimuli sensitive, nervous, tense, agitated behavior, damage the ability to concentrate.
3. Risk for imbalanced nutrition less than body requirements related to: increased metabolism (increased appetite / intake with weight loss); nausea, vomiting, diarrhea; relative insulin deficiency, hyperglycemia.
4. Risk for impaired tissue integrity
related to: changes in the mechanism of protection of the eyes; damage eyelid closure / exophthalmos.
4 Comment for "4 Nursing Diagnosis for Graves' Disease"
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