thyroid storm
Treatment
diagnosis
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
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
Sings and Symptom
Agitation
Alteration in the state of consciousness
Tremors
Sweating
Hyperthermia
nursign care
medicines
Propylthiouracil: loading dose of 600 mg, followed by 300 mg every 6 hours. • Methimazole: 20-25 mg every 6 hours (both by gastric route).
management of temperature regulation
Venous access for hydration with intravenous fluids and electrolytes, to restore gastrointestinal losses and those insensitive to fever, sweating, vomiting and diarrhea
Taking ekg to assess the presence of arrhythmias or tachycardia or rule out that it is a triggering cause
Administration of antithyroid drugs propylthiouracil and methimazioll that block thyroid hormone synthesis
Taking ekg to assess the presence of arrhythmias or tachycardia or rule out that it is a triggering cause
tirodies is the gland responsible for the regulation of the metabolic system temperature regulation Protein synthesis / fat degradation.
Synthesis of vitamin A.
H2o regulation.
Contraction of intestinal cells.
definition
manifestation of hyperthyroidism due to excessive release of hormones t3 and t4