REANIMACIONCARDIOPULMONAR EN COVI 19

Functions of t3 and t4

The thyroid needs iodine to secrete its hormones. These hormones balance the metabolism (the speed at which the energy coming from food is consumed), and help the body burn excess fat by effectively regulating the energy level.

Thyroid crisis or storm is an acute worsening of hyperthyroidism symptoms

SubThe thyroid is a butterfly-shaped gland located in the neck, just above the clavicle.tema

Growth and development of SNC and SNP.
Temperature regulation.
Protein synthesis / fat degradation.
Synthesis of vitamin A.
H2o regulation.
Contraction of intestinal cells.

Graves-Basedow disease

Caused by TSI (Thyroid hormone-stimulating immunoglobulins) directed against TSH-R (receptor for thyroid stimulating hormone).

The extrathyroidal manifestations of Graves' disease-ophthalmopathy and dermopathy-are due to the activation of the immune mediation of the fibroblasts in extraocular muscles and the skin with accumulation of glycosaminoglycans, which results in water accumulation and edema.

Sings and Symptom

Agitation
Alteration in the state of consciousness
Tremors
Sweating
Hyperthermia

Physical exam
Anamnesis (mainly find out background)
The most precise manifestations
F.C greater than 130 per minute
Temperature greater than 37
Changes in the state of consciousness

SuThyroid storm treatment

Have a permeable airway with administration of oxygen at 5 liters per minute per mask or nasal cannula
Hyperpyrexia control with physical means such as body ice, alcohol sponges, acetaminophen.
Fluid contribution electrolyte solution and glucose with 5% DAD in distilled water
Administer IV thiamin to prevent Wernicke korsakoff syndrome

how was it diagnosed

Bleeding, blood clots, infection of the nerves of the vocal cords and larynx
Possible obstruction of the airway
An acute elevation in thyroid hormone levels (only during surgery)
Injury to the parathyroid glands (small glands near the thyroid) or to your blood supply, this can cause hypocalcemia
Injury in the four small glands located behind the thyroid (parathyroid glands), which can produce hypoparathyroidism, this gives a low level of calcium and more phosphorus in the blood

What happens with the overactive thyroid?

Nursing care

Pain control
Monitor signs of bleeding or edema in the area
Assess symptoms of hypocalcemia
Perform in turn the signs of TROUSSEAU and CHVOSTEK

Venous access for hydration with intravenous fluids and electrolytes, to restore gastrointestinal losses and those insensitive to fever, sweating, vomiting and diarrhea.
Administration of antithyroid drugs propylthiourazole and methimazioll that block the synthesis of thyroid hormone by inhibiting the organization of tyrosine residues.
Taking ekg to assess the presence of arrhythmias or tachycardia or rule out that it is a triggering cause.
Monitor neurological status by presence of seizures

Subtema

NURSING CARE WITH MEDICINES

Subt
PROPANOL :( BETA BLOCK)
Monitor the patient
Monitor T.A and respiratory function due to the production of bronchospasm

METIMAZOL (ANTITIROIDEO)
One hour after the administration of the first dose of propylthiouracil or methimazole, stable iodide is administered to block the synthesis of thyroid hormones
Liver function control and blood picture
can cause upset stomach, so it is recommended to take it with food or milk

PROPYLTIOURACIO: (ANTITIROIDEO)
Liver function control due to fulminant hepatitis
Control of blood picture by agranulocytosis (decrease in white blood cells in blood)
Platelet control (thrombocytopenia)

Follicular cells secrete iodine-containing hormones into the blood. The most important of these hormones is thyroxine (T4), which represents 99.9% of the hormones produced by the thyroid. Another hormone, triiodothyronine (T3), accounts for the remaining 0.1%.