1.
Ensure
that the client is adequately prepared for surgery.
a.
Cardiac
status is stable
b.
Weight
and nutritional status are normal
2. Administer anti-thyroid drugs as ordered to suppress the production and secretion of thyroid hormone and to prevent thyroid storm.
3. Administer iodine preparations (Lugol’s or potassium iodide solution) to reduce the size and cascularity of the gland and prevent hemorrhage.
Nursing interventions: postoperative
1. Monitor vital signs and I & O
2. Check dressings for signs of hemorrhage; check for wetness behind neck.
3. Place client in semi-Fowler’s position and support head with pillows
4. Observe for respiratory distress secondary to hemorrage, edema of the glottis, laryngeal nerce damage, or tetany; keep tracheostomy set, oxygen, and suction nearby.