Nursing Care Plan for Hyperthyroidism : Ineffective Airway Clearance and Knowledge Deficit
Hyperthyroidism is a condition in which the thyroid gland makes too much thyroid hormone. The condition is often referred to as an "overactive thyroid."
Symptoms
Difficulty concentrating, Fatigue, Frequent bowel movements, Goiter (visibly enlarged thyroid gland) or thyroid nodules, Heat intolerance, Increased appetite, Increased sweating, Irregular menstrual periods in women, Nervousness, Restlessness, Weight loss (rarely, weight gain)
Other symptoms that can occur with this disease: Breast development in men, Clammy skin, Diarrhea, Hair loss, Hand tremor, High blood pressure, Itching - overall, Lack of menstrual periods in women, Nausea and vomiting, Pounding, rapid, or irregular pulse, Protruding eyes (exophthalmos), Rapid, forceful, or irregular heartbeat (palpitations), Skin blushing or flushing, Sleeping difficulty, Weakness
Nursing Diagnosis : Ineffective Airway Clearance
related to increased production of secretions.
Goal :
Maintaining a patent airway.
Nursing Intervention:
1. Auscultation of breath sounds
Rational : Some degree of bronchial spasms occur with airway obstruction and may be manifested by the presence of breath sounds.
2. Assess / monitor respiratory frequency.
Rational : Tachipnoe common to some degree and can be found during / due process of acute infection.
3. Push / aids or lips abdominal breathing exercises
Rational : Provides a way to overcome and control dispoe and reduce air entrapment.
4. Observation of the characteristic cough
Rational : cough may persist but ineffective, especially in the elderly, acute illness or infirmity
5. Increase fluid intake to 3000 ml / day
Rational : Hydration helps decrease the viscosity of secretions facilitate spending.
Nursing Diagnosis : Knowledge Deficit
related to lack of information about the disease process and treatment at home.
Goal :
Understanding of the condition / disease processes and actions.
Nursing Interventions :
Intervention:
1. Describe the process of individual disease
Rational : Reduce anxiety and can lead to participation in the treatment plan.
2. Instruct to breathing exercises, effective cough and exercise general conditions.
Rational : Breath lip and abdominal breathing helps minimize airway collapse and increased activity tolerance.
3. Discuss the factors that increase the individual's condition as air, pollen, tobacco smoke.
Rational : Environmental factors can cause bronchial irritation and increased production of airway secretions.