About
Removal of the thyroid for clients unresponsive to medication management or radioactive iodine treatment for hyperthyroidism.
Assess
Vital signs frequently, pain, hemorrhage, laryngeal edema, hypocalcemia. Assess for complications including thyroid storm, hypocalcemia, tetany, respiratory distress.
Complications
Respiratory distress- laryngeal edema, stridor; hypocalcemia- tetany, twitching, spasms; thyroid storm- fever, tachycardia, hypertension, anxiety, tremors, abdominal pain, nausea, diarrhea
Respiratory distress, hemorrhage, thyroid storm, hypocalcemia, tetany
Diagnosis
- Risk for injury related to neurological changes associated with electrolyte imbalances
- Acute pain related to surgical procedure
- Ineffective airway clearance related to pain when coughing
- Impaired gas exchange related to laryngeal swelling
Goals
- The client will understand pre-, intra-, and post-operative instructions.
- The client will remain free from injury and complications.
Interventions
- Assess client's understanding of surgical procedure and post-care.
- Teach client, pre-operatively, what to expect after surgery and necessary interventions to minimize complications.
- Monitor for post-operative complications.
- Teach client coughing and deep breathing exercises.
- Maintain a semi-fowler's position.
- Suction secretions as needed.
- Administer medications ( analgesics, etc.) as ordered.
- Administer drugs for hypothyroidism and teach patient medications will be needed for a lifetime.
- Monitor for signs/ symptoms of complications.
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