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Begum Bilqees Sultana institute of Nursing

Pathophysiology
Graves Disease
2nd year 4th Semester Bsn
Azra Baloch (09)

Assigned By
Sir Saifullah Mhar
Objectives

At the end of this presentation students will be


able to
 Define graves Disease
 Discuss the pathophysiology of graves disease
 Enlist the clinical manifestations of graves disease
 Discuss the etiology of graves disease
 Enlist risk factors of graves disease
 Management of graves disease
Graves Disease
Graves disease is the most common endogenous
hyperthyroidism. it is a relatively common affecting
females 4-5 times more commonly than males. it has
highest incidence in 15-40 years of age .
Pathophysiology
Graves disease, one of the autoimmune thyroid diseases, is
caused by the production of IgG autoantibodies directed
against the thyrotropin receptor. These antibodies bind to
and activate the receptor, causing the autonomous
production of thyroid hormones.
In some patients, Graves disease represents a part of more
extensive autoimmune processes leading to dysfunction of
multiple organs. Graves disease is associated with
pernicious anemia, vitiligo, diabetes mellitus type 1,
autoimmune adrenal insufficiency, systemic sclerosis,
myasthenia gravis, Sjögren syndrome, rheumatoid
arthritis, and systemic lupus erythematosus.
Clinical Manifestations
• Difficulty sleeping.
• Enlarged thyroid (goiter).
• Eye inflammation that causes eyeballs to
protrude from sockets.
• Fast, irregular heartbeat (arrhythmia).
• Fatigue.
• Hand tremors.
• Heat intolerance.
• Irritability.
• Muscle weakness.
• Unexplained weight loss.
Etiology
Graves disease is caused by a malfunction in the
body's disease-fighting immune system. It's
unknown why this happens. The immune system
normally produces antibodies designed to target a
specific virus, bacterium or other foreign substance.
Risk Factors
• Family history. ...
• Sex. ...
• Age. ...
• Other autoimmune
disorders. ...
• Emotional or physical
stress. ...
• Pregnancy. ...
• Smoking.
Medical Management
Patients with Graves disease may be treated with
• Antithyroid drugs
• Radioactive iodine (RAI)
• Surgery (near-total thyroidectomy)
• Beta Blockers
Nursing Management
-Provide adequate rest.
-Administer sedatives as
prescribed.
-Provide a cool and quiet
environment.
-Obtain weight daily.
-Provide a high-calorie diet.
-Administer antithyroid
medications.
-Prepare the client for
radioactive iodine therapy, as
prescribed, to destroy thyroid
cells.
-Prepare the client for
thyroidectomy if prescribed.
References
 https://my.clevelandclinic.org/health/diseases/15244-
graves-disease
 Pathophysiology - Text and Study Guide Package
Kathryn L. McCance Jun 2018
 Nursing Key Topics Review: Pathophysiology Elsevier
Dec 2018
Thank you :)

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