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Across 1. Pt should be taught to exercise intraocular muscle several times a day by turning the eyes in the complete ROM. 4. An acute, rare condition in which all hyperthyroid manifestations are heightened. 6. In pt with myxedema, this can be precipitated by infection, drugs (esp. opioids, tranquilizers, & barbituates), exposure to cold, & trauma. 8. Preop care involves controlling HTN & hyperglycemia as well as hypokalemia in the pt with this syndrome. 13. An important part of the nursing assessment for this condition is the observation for the classic triad of Sx: severe pounding HA, tachycardia, & profuse sweating. 16. Tends to be self-limiting when caused by head trauma or drugs but chronic in nature when associated with tumors or metabolic diseases. 17. Serum calcium levels elevated with decreased phosphorus levels. 21. Characterized by remissions & exacerbations, with/without Tx. May progress to destruction of thyroid tissue, causing hypothyroidism. 22. If pt is taking this med, monitor urine & plasma osmolarity & urine volume frequently. Assess pt for Sx of dehydration. 23. Caloric intake should be ___________ after thyroidectomy. 24. This mucinous edema causes the characteristic facies of hypothyroidism (i.e., puffiness, periorbital edema, & masklike affect).

Down 2. Therapeutic objective is restoration of the euthyroid state as safely & and rapidly as possible, with hormone replacement therapy. 3. This disorder may be central, nephrogenic, or dipsogenic in origin, I.d. of the cause is the initial step. A H2O deprivation test is usually done to confirm the Dx of central _________ _________. 5. In Cushing syndrome, an excess of adrenocortical hormone can cause an excess of body hair in a masculine distribution pattern. 7. This drug suppresses cortisol production, alters peripheral metabolism of cortisol, & decreases plasma & urine steroid levels by destroying adrenocortical cells: "medical adrenalectomy". 9. When the pt with Addison's Dz is hospitalized, VS & signs of _______ _______ _______ should be assessed frequently. 10. Uncommon condition characterized by inadequate circulating PTH that results in hypocalcemia. PTH resistance at the cellular level may also occur. 11. Agranulocytosis may develop rapidly with this med used to treat hyperthyroidism, usually during first 2 months, necessitating discontinuation of therapy. 12. Never abruptly stop this medication because this could lead to addisonian crisis & possible death. 14. This iodine limits thyroid hormone secretion by damaging/destroying thyroid tissue; maximum effect may not be seen for 2-3 months. 15. This surgery is indicated for pts with very large goiters causing tracheal compression, & for pts with a possible malignancy. 18. A pt with hyperthyroidism should avoid highly seasoned & high-fiber foods due to an already __________ GI tract. 19. Management of this crisis requires STAT aggressive management. Tx is directed toward shock mgmt & high-dose hydrocortisone relacement. 20. Evaluation of effectiveness of this supplement includes normalization of serum Ca, P, PTH levels.