Hyperthyroidism, also known as Grave’s disease, Basedow’s disease, or thyrotoxicosis is a metabolic imbalance that results from overproduction of thyroid hormones triiodothyronine (T3) and thyroxine (T4). The most common form is Graves’ disease, but other forms of hyperthyroidism include toxic adenoma, TSH-secreting pituitary tumor, subacute or silent thyroiditis, and some forms of thyroid cancer.
Thyroid storm is a rarely encountered manifestation of hyperthyroidism that can be precipitated by such events as thyroid ablation (surgical or radioiodine), medication overdosage, and trauma. This condition constitutes a medical emergency.
Nursing care management for patients with hyperthyroidism requires vigilant care to prevent acute exacerbations and complications.
Here are seven (7) nursing care plans (NCP) and nursing diagnosis for patients with hyperthyroidism:
- Risk for Decreased Cardiac Output
- Risk for Disturbed Thought Processes
- Risk for Imbalanced Nutrition: Less Than Body Requirements
- Risk for Impaired Tissue Integrity
- Deficient Knowledge
- Other Possible Nursing Care Plans
Risk for Disturbed Thought Processes
- Risk for Disturbed Thought Process
Risk factors may include
- Physiological changes: increased CNS stimulation/accelerated mental activity
- Altered sleep patterns
Possibly evidenced by
- Not applicable. A risk diagnosis is not evidenced by signs and symptoms, as the problem has not occurred and nursing interventions are directed at prevention.
- Client will maintain usual reality orientation.
- Client will recognize changes in thinking/behavior and causative factors.
|Assess the thinking process. Determine attention span, orientation to place, person, or time.||Determines the extent of interference with sensory processing|
|Note changes in behavior.||May be hypervigilant, restless, extremely sensitive, or crying or may develop frank psychosis.|
|Assess the level of anxiety.||Anxiety may alter thought processes.|
|Provide a quiet environment; decreased stimuli, cool room, dim lights. Limit procedures and/or personnel.||Reduction of external stimuli may decrease hyperactivity or reflexia, CNS irritability, auditory and/or visual hallucinations.|
|Reorient to person, place, or time as indicated.||Helps establish and maintain awareness of reality and environment.|
|Present reality concisely and briefly without challenging illogical thinking.||Limits defensive reaction.|
|Provide clock, calendar, room with outside window; alter the level of lighting to simulate day or night.||Promotes continual orientation cues to assist the patient in maintaining a sense of normalcy.|
|Encourage visits by family and/or SO. Provide support as needed.||Aids in maintaining socialization and orientation. Note: Patient’s agitation and/or psychotic behavior may precipitate family conflicts.|
|Provide safety measures. Pad side rails, close supervision, applying soft restraints as last resorts as necessary.||Prevents injury to the patient who may be hallucinating or disoriented.|
|Administer medication as indicated: sedatives, antianxiety agents, and/or antipsychotic drugs.||Promotes relaxation, reduces CNS hyperactivity and agitation to enhance thinking ability.|
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Endocrine and Metabolic Care Plans
Nursing care plans related to the endocrine system and metabolism:
- Acid-Base Balance
- - Respiratory Acidosis Nursing Care Plan
- - Respiratory Alkalosis Nursing Care Plan
- - Metabolic Acidosis Nursing Care Plan
- - Metabolic Alkalosis Nursing Care Plan
- Addison's Disease | 3 Care Plans
- Cushing’s Disease | 6 Care Plans
- Diabetes Mellitus Type 1 (Juvenile Diabetes) | 4 Care Plans
- Diabetes Mellitus Type 2 | 13+ Care Plans
- Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS) | 4 Care Plans
- Eating Disorders: Anorexia & Bulimia Nervosa | 7 Care Plans
- Fluid and Electrolyte Imbalances | 10 Care Plans
- - Fluid Balance: Hypervolemia & Hypovolemia
- - Potassium (K) Imbalances: Hyperkalemia and Hypokalemia
- - Sodium (Na) Imbalances: Hypernatremia and Hyponatremia
- - Magnesium (Mg) Imbalances: Hypermagnesemia and Hypomagnesemia
- - Calcium (Ca) Imbalances: Hypercalcemia and Hypocalcemia
- Gestational Diabetes Mellitus | 4 Care Plans
- Hyperthyroidism | 7 Care Plans
- Hypothyroidism | 3 Care Plans
- Obesity | 4 Care Plans
- Thyroidectomy | 5 Care Plans