NCP Thyroidectomy

Thyroidectomy, although rare, may be performed for patients with thyroid cancer, hyperthyroidism, and drug reactions to antithyroid agents; pregnant women who cannot be managed with drugs; patients who do not want radiation therapy; and patients with large goiters who do not respond to antithyroid drugs.
The two types of thyroidectomy include:
Total thyroidectomy: The gland is removed completely. Usually done in the case of malignancy. Thyroid replacement therapy is necessary for life.
Subtotal thyroidectomy: Up to five-sixths of the gland is removed when antithyroid drugs do not correct hyperthyroidism or RAI therapy is contraindicated.

CARE SETTING

Inpatient acute surgical unit

RELATED CONCERNS

Cancer
Hyperthyroidism (thyrotoxicosis, Graves’ disease)
Psychosocial aspects of care
Surgical intervention

Patient Assessment Database

Refer to CP: Hyperthyroidisim (Thyrotoxicosis, Graves’ Disease), for assessment
information.

Discharge plan

DRG projected mean length of inpatient stay: 2.4 days

Refer to section at end of plan for postdischarge considerations.

NURSING PRIORITIES

1. Reverse/manage hyperthyroid state preoperatively.
2. Prevent complications.
3. Relieve pain.
4. Provide information about surgical procedure, prognosis, and treatment needs.

DISCHARGE GOALS

1. Complications prevented/minimized.
2. Pain alleviated.
3. Surgical procedure/prognosis and therapeutic regimen understood.
4. Plan in place to meet needs after discharge.