The nurse clarifies that a subtotal thyroidectomy, which removes only two thirds of the gland, allows:

a. the patient to take minimum amounts of antithyroid drugs.
b. continued production and release of thy-roid hormones from the remainder of the gland.
c. the reduction of exophthalmos.
d. for less postoperative risk than total thy-roidectomy.


B
Patients who do not respond well to antithyroid drug therapy, who are unable to take radioactive iodine, or who have greatly enlarged thyroid glands are candidates for a subtotal thyroidectomy. In the subtotal procedure, two thirds of the glandular mass is removed. The remaining portion of the gland is left intact so production and release of thyroid hormone can continue. There is no need for antithyroid drugs, and the operative risks are the same.

Nursing

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