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 Imbalanced Nutrition: Less Than Body Requirements
Risk for Imbalanced Nutrition: Less Than Body Requirements: Intake of nutrients insufficient to meet metabolic needs.
Risk factors may include
- Increased metabolism (increased appetite/intake with loss of weight)
- Nausea/vomiting, diarrhea
- Relative insulin insufficiency; hyperglycemia
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 demonstrate stable weight with normal laboratory values and be free of signs of malnutrition.
|Monitor daily food intake. Weigh daily and report losses.||Continued weight loss in the face of adequate caloric intake may indicate failure of antithyroid therapy.|
|Encourage patient to eat and increase the number of meals and snacks. Give or suggest high-calorie foods that are easily digested.||Aids in keeping caloric intake high enough to keep up with the rapid expenditure of calories caused by the hypermetabolic state.|
|Provide a balanced diet, with six meals per day.||To promote weight gain. Note: If the patient has edema, suggest a low-sodium diet.|
|Avoid foods that increase peristalsis and fluids that cause diarrhea.||Increased motility of the GI tract may result in diarrhea and impair absorption of needed nutrients.|
|Consult with a dietitian to provide a diet high in calories, protein, carbohydrates, and vitamins.||May need assistance to ensure adequate intake of nutrients, identify appropriate supplements.|
|Administer medications as indicated: glucose, vitamin B complex, insulin (small doses).||Given to meet energy requirements and prevent or correct hypoglycemia. Insulin aids in controlling serum glucose if elevated.|
You may also like the following posts and care plans:
- Nursing Care Plan: The Ultimate Guide and Database – the ultimate database of nursing care plans for different diseases and conditions! Get the complete list!
- Nursing Diagnosis: The Complete Guide and List – archive of different nursing diagnoses with their definition, related factors, goals and nursing interventions with rationale.
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