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Patient Profile R

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Patient Profile R.D., a 47-year-old white woman, was admitted to the hospital with a high fever. Unable to find a source of infection, the healthcare provider does an endocrine workup. R.D. is diagnosed with hyperthyroidism Subjective Data •Reports recent job loss because she is no longer able to tolerate work-related stress •Reports symptoms including fatigue, unintentional weight loss, insomnia, palpitations, and heat intolerance Objective Data •Fever of 104° F (40° C) •BP of 150/80?mm Hg, the pulse of 116 beats/min, and respiratory rate of 26 breaths/min •Hot, moist skin •Fine tremors of the hands •4+ deep tendon reflexes and muscle strength of 1 to 2 out of 5 Collaborative Care •Subtotal thyroidectomy planned for 2?months later •Started on propylthiouracil (PTU) and propranolol (Inderal) Question 1. If R.D.'s total thyroid was removed during the thyroidectomy? What medication would you expect R.D. to take for the rest of his life? What teaching would you provide to R.D. regarding this medication? 2. R.D. asks if her eyes will be bulging (Exophthalmos) like this forever. How will you respond to this?