Endocrine - Congenital Hypothyrodism Low concentration of...

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Congenital Hypothyrodism Low concentration of circulating thyroid hormones at birth .
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Congenital Hypothyroidism In North America, Japan and Europe, newborns are screened. TSH surges in the first 24-48 hours of life, screening needs to be done after 48 hours of life. The early detection and treatment needs to be done to prevent severe mental retardation known as Cretinism.
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Etiology 1. Defect of the embryonic development of the thyroid gland in which it is absent, partially present, or ectopic, (in the wrong place.) 2. Pituitary dysfunction 3.Inborn error of thyroid hormone synthesis which is inherited autosomal,recessive trait.
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Treatment Synthroid 10-15mcg/kg/day, The goal is to normalize thyroid function and keep the T4 in the upper half of normal and the TSH in the normal range.
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Nursing Management 1. Inform caregivers that lab tests need to be done every 2 weeks until baby is in therapeutic range. 2.The labs then will be every 3-4 months for the first few years of life, and then lengthening to every 6-12 months after. 3. Medication is a compound, therefore it is important to instruct how to prepare and administer medication.
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Acquired Hypothyroidism Inadequate thyroid hormones after 2 years old. It is categorized by Primary,
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Endocrine - Congenital Hypothyrodism Low concentration of...

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