Hypothyroidism

Topic: Medical-surgical

Too little thyroid hormone, which slows metabolism; Hashimoto's thyroiditis is the most common cause where iodine intake is adequate, and treating hyperthyroidism is another. Fatigue, cold intolerance, weight gain, constipation, dry skin, hair loss, bradycardia, slowed thinking and depression develop gradually and are easily missed in older adults. Myxedema coma, often triggered by infection, cold or sedatives, brings hypothermia, hypoventilation and reduced consciousness. Teach that levothyroxine is lifelong and taken each morning on an empty stomach; give sedatives and opioids cautiously.

Also known as:

Hashimoto's thyroiditis, Myxedema, Myxedema coma

In Turkish:

Hipotiroidi