Nursing Interventions: Hyperthyroidism

1. Administer prescribed antithyroid medications, as ordered.
2. If iodine is part of the treatment, mix it with milk, juice, or water to prevent gastrointestinal distress, and give it through a straw to prevent tooth discoloration.
3. Give antidiarrheal preparations as ordered.
4. Consult a dietician to ensure a nutritious diet with adequate calories and fluids.
5. Avoid excessive palpation of the thyroid, this can precipitate thyroid storm.
6. Minimize physical and emotional distress.
7. Monitor and record patient’s vital signs, weight, fluid intake, and urine output.
8. Measure neck circumference daily to check for progression of thyroid enlargement.
9. Evaluate serum electrolyte levels, and check for hyperglycemia and glycosuria.
10. Assess the patient for signs of heart failure.
11. Stress the importance of regular medical follow up after discharge because hypothyroidism may develop 2 to 4 weeks.
12. Reassure the patient and his family that mood swings and nervousness will probably subside with treatment.