Which of the following are appropriate nursing interventions for the patient in myxedema coma? (Select all that apply.)
a. Administer levothyroxine (Synthroid) as ordered.
b. Encourage the intake of foods high in sodium.
c. Initiate passive rewarming interventions.
d. Monitor airway and respiratory effort.
e. Monitor urine osmolality.
A, C, D
Myxedema coma is a severe manifestation of hypothyroidism. Treatment entails replacement of thyroid hormone, airway management related to respiratory depression and potential airway obstruction related to tongue edema, thermoregulation, management of edema and congestive heart failure symptoms, and patient education. Edema may accompany myxedema and necessitate use of sodium restriction. Urine osmolality is monitored in conditions that affect antidiuretic hormone levels.
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Fill in the blank(s) with the appropriate word(s).