Transcription of NURSING CARE THE CLIENT HAVING A SUBTOTAL …
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NURSING CARE THE CLIENT HAVING A SUBTOTAL …
CHAPTER 17 / NURSING care of clients with Endocrine Disorders449because radioactive iodine crosses the placenta and can havenegative effects on the developing fetal thyroid gland. Be-cause the amount of gland destroyed is not readily control-lable, the CLIENT may become hypothyroid and require life-longTH hyperthyroid clients have such enlarged thyroid glandsthat pressure on the esophagus or trachea causes breathing orswallowing problems. In these cases, removal of all or part ofthe gland is indicated. Asubtotal thyroidectomyis usually per-formed. This procedure leaves enough of the gland in place toproduce an adequate amount of TH. A total thyroidectomyisperformed to treat cancer of the thyroid; the CLIENT then requireslifelong hormone surgery, the CLIENT should be in as nearly a euthyroidstate as possible. The CLIENT may be given antithyroid drugs toreduce hormone levels and iodine preparations to decrease thevascularity and size of the gland (which also reduces the risk ofhemorrhage during and after surgery).
CHAPTER 17 / Nursing Care of Clients with Endocrine Disorders 449 because radioactive iodine crosses the placenta and can have negative effects on the developing fetal thyroid gland.
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