What are the potential complications post thyroidectomy?
Major postoperative complications include wound infection, bleeding, airway obstruction (compressing hematoma, tracheomalacia), hypocalcemia, thyroid storm (uncommon, usually associated with Grave’s disease) and recurrent laryngeal nerve injury. Incidence is 3-5%.
What is the most important complication to monitor when caring for a patient after thyroidectomy?
Hypocalcemia is the most frequent, symptomatic or asymptomatic, rebleeding with hematoma, laryngeal nerve injury, acute pain or infection as the most important.
What is the most common complication post thyroidectomy in the ward?
Hypocalcemia was the most frequent post-thyroidectomy complication, whereas voice changes, seroma, hematoma, and tracheal injury are rare complications.
How do you care for someone after thyroid surgery?
Activity
- Rest when you feel tired.
- Try to walk each day.
- Avoid strenuous physical activity and lifting heavy objects for 3 weeks after surgery or until your doctor says it is okay.
- Do not over-extend your neck backwards for 2 weeks after surgery.
- Ask your doctor when you can drive again.
What do you monitor after thyroidectomy?
It is important to monitor both calcium and magnesium levels after total thyroidectomy and to correct deficiencies to facilitate prompt resolution of symptoms.
What should I monitor after total thyroidectomy?
After a thyroid lobectomy, you’ll need to have your thyroid hormone levels checked and will be prescribed a thyroid hormone replacement, if needed. In the weeks after your thyroid surgery, you may have neck pain, soreness of your vocal chords or a weak voice.
What should I monitor after thyroidectomy?
How do you manage hypocalcemia after thyroidectomy?
Patients who have symptomatic hypocalcemia in the early postoperative period or whose calcium levels continue to fall rapidly require treatment. In symptomatic patients, replace calcium with intravenous calcium gluconate. Ten milliliters of 10% solution (1 g) may be administered over 10 minutes.
What should you assess after thyroidectomy?
To assess for this, you’ll want to assess the quality of the patient’s voice. Hoarseness or difficulty forming sound could be an indicator of laryngeal nerve damage. In addition to damage to the laryngeal nerve, hypoglossal nerve damage can also occur. To assess for this, have the patient extend their tongue.
Which of the following nursing interventions is appropriate after a total thyroidectomy?
Thyroidectomy requires meticulous postoperative nursing care to prevent complications….Desired Outcomes.
| Nursing Interventions | Rationale |
|---|---|
| Place in semi-Fowler’s position and support head and neck with sandbags or small pillows. | Prevents hyperextension of the neck and protects the integrity of the suture line. |
What is the priority nursing assessment for a client Post op thyroidectomy?
Thyroidectomy requires meticulous postoperative nursing care to prevent complications. Nursing priorities will include managing hyperthyroid state preoperatively, relieving pain, providing information about the surgical procedure, prognosis, and treatment needs, and preventing complications.
Which is a serious complication of hypocalcemia after thyroidectomy?
Transient hypocalcemia frequently complicates post-operative care of patients who have undergone thyroid surgery. Post-thyroidectomy hypocalcemia arises because of parathyroid removal, devascularization and damage which induce a state of transient (or permanent) hypoparathyroidism.
When a client returns from surgery after a thyroidectomy the nurse should position the client?
The American Thyroid Association also recommended to keep the patient in a head-up at 45°-Fowler’s position in the post anesthesia care unit following thyroidectomy to prevent hematoma formation on the incision site by facilitating venous return from the head and neck.
What are the nursing management of thyroidectomy?
Total thyroidectomy: The gland is removed completely….Desired Outcomes.
| Nursing Interventions | Rationale |
|---|---|
| Administer analgesics and/or analgesic throat sprays and lozenges as necessary. | Reduces pain and discomfort; enhances rest. |
| Provide ice collar if indicated. | Reduces tissue edema and decreases the perception of pain. |
What are the major complications associated with postoperative clients?
Common general postoperative complications include postoperative fever, atelectasis, wound infection, embolism and deep vein thrombosis (DVT). The highest incidence of postoperative complications is between one and three days after the operation.
What is a common postoperative complication?
The most common postoperative complications include fever, small lung blockages, infection, pulmonary embolism (PE) and deep vein thrombosis (DVT). Some complications listed here are very serious but most people having surgery will not experience them.
What are the most common post operative complications?
The most common postoperative complications include fever, small lung blockages, infection, pulmonary embolism (PE) and deep vein thrombosis (DVT).