medical

2. THE PATIENT WITH HYPERTHYROIDISM
 NURSING DIAGNOSES
 • Imbalanced nutrition, less than body requirements, related to
exaggerated metabolic rate, excessive appetite, and increased
gastrointestinal activity
 • Ineffective coping related to irritability, hyperexcitability,
apprehension, and emotional instability
 • Low self-esteem related to changes in appearance, excessive appetite,
and weight loss
 • Altered body temperature

3. Nursing Interventions
 IMPROVING NUTRITIONAL STATUS
 ENHANCING COPING MEASURES
 IMPROVING SELF-ESTEEM
 MAINTAINING NORMAL BODY TEMPERATURE
 MONITORING AND MANAGING POTENTIAL COMPLICATIONS

4. Care of the Patient With Hypothyroidism
 Nursing Diagnosis: Activity intolerance related to fatigue and
depressed cognitive process
 Goal: Increased participation in activities and increased independence
 Nursing Diagnosis: Risk for imbalanced body temperature
 Goal: Maintenance of normal body temperature
 Nursing Diagnosis: Deficient knowledge about the therapeutic
regimen for lifelong thyroid replacement therapy
 Goal: Knowledge and acceptance of the prescribed therapeutic
regimen

5.  Nursing Diagnosis: Ineffective breathing pattern related to depressed
ventilation
 Goal: Improved respiratory status and maintenance of normal breathing
pattern
 Nursing Diagnosis: Disturbed thought processes related to depressed
metabolism and altered cardiovascular and
 respiratory status
 Goal: Improved thought processes
 Collaborative Problem: Myxedema and myxedema coma
 Goal: Absence of complications

6.  Nursing Management
 MODIFYING ACTIVITY
 MONITORING PHYSICAL STATUS
 PROMOTING PHYSICAL COMFORT
 PROVIDING EMOTIONAL SUPPORT

7. ADRENOCORTICAL INSUFFICIENCY
 Nursing Management
 ASSESSING THE PATIENT
 MONITORING AND MANAGING ADDISONIAN CRISIS
 RESTORING FLUID BALANCE
 IMPROVING ACTIVITY TOLERANCE

8. CUSHING’S SYNDROME
NURSING DIAGNOSES
 Risk for injury related to weakness
 Risk for infection related to altered protein metabolism and inflammatory
response
 Self-care deficit related to weakness, fatigue, muscle wasting, and altered
sleep patterns
 Impaired skin integrity related to edema, impaired healing, and thin and
fragile skin
 Disturbed body image related to altered physical appearance, impaired
sexual functioning, and decreased activity level
 Disturbed thought processes related to mood swings, irritability, and
depression

9.  Nursing Interventions
 DECREASING RISK FOR INJURY
 DECREASING RISK FOR INFECTION
 PREPARING THE PATIENT FOR SURGERY
 ENCOURAGING REST AND ACTIVITY
 PROMOTING SKIN INTEGRITY
 IMPROVING BODY IMAGE
 IMPROVING THOUGHT PROCESSES
 MONITORING AND MANAGING POTENTIAL COMPLICATIONS
 Addisonian Crisis, Adverse Effects of Adrenocortical Activity

10. THE PATIENT WITH ACUTE PANCREATITIS
 NURSING DIAGNOSES
 Acute pain related to inflammation, edema, distention of the pancreas,
and peritoneal irritation
 Ineffective breathing pattern related to severe pain, pulmonary
infiltrates, pleural effusion, atelectasis, and elevated diaphragm
 Imbalanced nutrition, less than body requirements, related to reduced
food intake and increased metabolic demands
 Impaired skin integrity related to poor nutritional status, bed rest, and
multiple drains and surgical wound

11.  Nursing Interventions
 RELIEVING PAIN AND DISCOMFORT
 IMPROVING BREATHING PATTERN
 IMPROVING NUTRITIONAL STATUS
 IMPROVING SKIN INTEGRITY
 MONITORING AND MANAGING POTENTIAL COMPLICATIONS

12.  Nursing Diagnosis: Imbalanced nutrition: less than body requirements related to
inadequate dietary intake, impaired pancreatic secretions, increased nutritional
needs secondary to acute illness, and increased body temperature
 Goal: Improvement in nutritional status
 Nursing Diagnosis: Ineffective breathing pattern related to splinting from severe
pain, pulmonary infiltrates, pleural effusion, and atelectasis
 Goal: Improvement in respiratory function
 Collaborative Problem: Fluid and electrolyte disturbances, hypovolemia, shock
 Goal: Improvement in fluid and electrolyte status, prevention of hypovolemia and
shock
 Thanking you.