Common physical findings are tachycardia and a bounding pulse with a wide pulse present with forceful apical pulse and a systolic ejection murmur due to increased flows. Cardiac arrhythmias are common, particularly supraventricular tachycardia and atrial fibrillation. Atrial fibrillation occurs in 10% to 20% of patients with hyperthyroidism. Therefore, thyrotoxicosis should always be suspectedin patients with atrial fibrillation and the thyroid function should be checked. Findings of hyperthyroidism: tachycardia, bounding pulse, forceful apical impulse, widened pulse pressure, and systolic ejection murmur. Cardiac arrhythmias are common, especially atrial fibrillation. Thyrotoxicosis in patients with atrial fibrillation.
Treatment of underlying hyperthyroidism usually leads to reversal of cardiac symptoms. If atrial fibrillation is present, the risk of embolization is high and anticoagulation should be instituted. Cardioversion should not be attempted until a euthyroid state is achieved.
Nursing Diagnosis for Hyperthyroidism
Disturbed Thought Processes related to physiological changes, increased CNS stimulation / quicken mental activity
- Maintain reality orientation generally
- Recognizing the change in thinking / behavior and causes
- Assess the patient's thought processes, such as memory, attention span, orientation to place, time or person
- Note the change in behavior
- Present at reality are continuously and clearly without a fight illogical thoughts
- Provide a safe measures such as bearing on enghalang bed, soft binding tight supervision
- Encourage your family or someone close to other woods to visit paisen. Provide support as needed.
- Giving sedatives as indicated