Hypothyroidism/Myxedema is a disease characterized by a decrease in the basal metabolic rate due to hyposecretion of T3 and T4 hormones from the thyroid gland. It most commonly occurs in people over 50 years of age but can affect people of any age, and is 5 times more prevalent in females than males. Symptoms include fatigue, weight gain, dry skin, puffy face, cold intolerance, and menstrual disturbances. Diagnosis involves testing thyroid function and hormone levels, while treatment consists of lifelong thyroid hormone replacement therapy with levothyroxine.

1. Hypothyroidism/Myxedema
By,
Mr ASHOK DHAKA BISHNOI
Director, JINC

2. “”It is due to hyposecretion of T3 & T4 hormone
characterized by Decrease BMR””
This disease occur mainly in 50 yr of age but it can
occur in any age.
It is 5 time more in female then the male
Normal level of :-
1. T3 (Tri-iodothyronine) 80-230ng/dl
2. T4 (Thyroid)-5.0-12.9 microgram/dl
Meaning:-

3. Tumor of
thyroid gland
Deficiency of
TSH
Iodine deficiency
Hashimatto’s
disease
Graev’s disease
Etiology:-

4.  Fatigue
 Anorexia
 Wt gain
 Protrusion of tongue
 Puffiness of face
 Dry skin
 Peri-orbital edema
 Intolerance of cold
 Menstruation disturbance
C/F;-

5.  History. PE
 Thyroid function test
 T3-T4 level
 Thyroid scan
D/E:-

6. M/M:-
 Thyroid H. replacement therapy:-Levothroxin (Most
commonly used drug)
 Vevothroid
Nursing management:-
 Provide warm environment to the patient
Diet:-
Low calories diet
Management:-