Recognize Cues Analyze Cues Prioritize Hypotheses Generate Solutions Taking Action Evaluate

(interpreting)
Stable Hypo

Gather information Making meaning of Determining actions Determining actions Implementing

the information to take to take
Assessment data - Passing
Nursing Diagnosis- Planning Planning stools
- Cold Main regularly
- Low HR (60), concerns/priorities - Cluster care - Tolerate act.
hypotension - Emotional - High energy
(100/60) - Self image: support - Improve
- Hair loss hair loss and - Hot water coping
- Weight gain weight gain increase
- Constipated - Activity bowel
- Dry skin intolerance movement
- T3/T4 are low - Decreased - Get rest when
- LDL will be bowel feeling tired
elevated movement (schedule
- Ax diet to see activities)
if iodine is the -
 problem

Recognize Cues Analyze Cues Prioritize Generate Solutions Taking Action Evaluate
(interpreting) Hypotheses
Stable Hyper

Gather information Making meaning of Determining actions Determining actions Implementing

the information to take to take
Assessment data - Have them - BP and HR
 Nursing Diagnosis- Planning Planning drink water, are regular
- Exophthalmos Main increase - H&H and
- Enlarged concerns/priorities electrolytes in electrolytes
thyroid water are normal
- Diarrhea - Dehydration - Meds: beta - No eye
- Menstrual (fluid and blockers 1 injury
changes electrolytes) (propranolol),
- Bones will be - Eye PTU (not used
weak protection a lot
(osteoporosis) - Cardiac hepatotoxicity)
- High HR, output/ - Daily weights
palpitations, BP/HR - Protect eyes
high BP - Cold therapy
- Strength will - Educate about
be high meds
- Nerve growth
will be rapid,
anxiety,
tremors.
- Weight loss,
rapid
metabolism.
- Too sweaty
and warm,
flushed
- Lose hair
- Goiter
- LABS: H&H,
and
electrolytes

To determine if
person is unstable,
symptoms will be
severe.

Recognize Cues Analyze Cues Prioritize Generate Taking Action Evaluate

(interpreting) Hypotheses Solutions

Gather information Making meaning of Determining Determining Implementing

the information actions to take actions to take  Increase in
Assessment data cortisol:
 Nursing Diagnosis- Planning Planning  Meds: glucose
 LABS: low Main corticosteroids,  Increase in
cortisol, low concerns/priorities fludrocortisone. aldosterone:
aldosterone,  Telemetry  Increase fluids increase Na
low sodium  Seizure  Diet: Eat more in (high BP),
and high  Dehydration prec. general because of and decrease
potassium (fluid and  Replace weight loss. Eat more in K.
 Weight loss electrolyte hormones sodium and less  No
 Hypoglycemia imbalance)  Diet: Na potassium. dysrhythmias
 Hypotension  Hypoglycemia &K  Put on telemetry,  No seizure
 Bronze skin  Risk for  Emotional perform EKG  Improved
 Fatigue, weak Dysrhythmias supp.  Change positions self image.
 N/V, abd pain  Risk for slowly because of
Seizures hypotension
 Risk for falls
 Self image
Recognize Cues Analyze Cues Prioritize Generate Solutions Taking Action Evaluate
(interpreting) Hypotheses

Gather information Making meaning of Determining actions Determining actions Implementing

the information to take to take
Assessment data  EKG,  No
Nursing Diagnosis- Planning Planning telemetry dysrhythmias
 Moon face Main  Emotional  No seizures
 Buffalo hump concerns/priorities support,  Controlled
 Increase in fat support glucose
 LABS: Na is  Risk for group  No infection
high, K is low infection  Seizure 
 Glucose is  Impaired precaution
high body image  BS
 Amenorrhea  Risk for monitoring
 Bruising seizures (insulin if
 Hypertension  Risk for needed)
 Abd striae stroke (high  Diet: high K,
BP) low Na
 Risk for  Daily weights
dysrhythmias  Med: steroid
(low K) inhibitors,
 Glucose: potassium
acid/base sparing
 Infection:
wash hands,
don’t eat
fresh fruits
and veggies,
avoid crowds