Tutor profile: Ashlee H.
What are nursing considerations for a client who has undergone a recent, total-thyroidectomy?
First priority: airway. The thyroid gland sits just along the trachea on the anterior neck. Recent surgery/trauma to this airway can cause increased risk for swelling, which can compress the trachea and impact the patient's airway. Second priority: hypocalcemia. Because this patient had a total thyroidectomy, the parathyroid glands were also removed. The parathyroid glands are important contributors to the body's normal level of calcium. Without the parathyroid gland, the patient is at risk for developing hypocalcemia, which can be shown with Chvostek's or Trousseau's sign. This can cause severe neurological signs and symptoms, including seizure. Third priority: infection. This is always a priority for surgical patients, airway and hypocalcemia require more immediate intervention, and infection is a more prominent risk after the 48 hour postoperative mark.
Subject: Biomedical Science
Which class of medications are responsible for removing the body of excess water? What dangers can this pose to a human?
Removing excess fluid from the body is also referred to as promoting diuresis. This is accomplished through the use of diuretics. There are a few different types of diuretics, including potassium-wasting diuretics (like furosemide [Lasix]) and potassium-sparing diuretics (like spironolactone [Aldactone]). When potassium-wasting diuretics are used and patients are not properly monitored, they can experience hypokalemia (low sodium levels in their blood). This can cause consequences, often specific to the heart rhythm.
Describe the difference between intraperitoneal and retroperitoneal organs?
Organs described as intraperitoneal are developed within the peritoneal cavity. The mesentery is a double layer of visceral peritoneum that separates organs from the peritoneal cavity. The mesentery surrounds each of the retroperitoneal organs, so they are fixed into place. Intraperitoneal organs are able to move within the peritoneal cavity.
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