Exam 3 - Thyroid Storm Flashcards
(9 cards)
1
Q
what is a thyroid storm
A
- overwhelming release of thyroid hormones that exerts an intense stimulus on the metabolism
- rare, life-threatening condition most commonly precipitated by surgery, trauma, or infection
2
Q
risk factors
A
- long term, untreated hyperthyroidism
- grave’s disease
- acute event
- irregular use of discontinuation of antithyroid drugs
3
Q
risk factors
A
- fever
- tachycardia
- cardiac dysrhythmias
- nausea/vomiting
- agitation
- tremor
- psychosis
- stupor/coma
- hypotension
4
Q
treatment
A
- beta blocker
- thionamide
- iodine solution
- glucocorticoids
- bile acid sequestrants
5
Q
beta blocker
A
to control the signs and symptoms induced by increased adrenergic tone
- given q 6 hours
6
Q
thionamide (propylthiouracil/PTU)
A
- to block new hormone synthesis
- suppresses conversion of T4 to T3
- given q 4 hours
7
Q
iodine solution
A
to block the release of thyroid hormone
8
Q
glucocorticoids
A
- to reduce T4 to T3 conversion
- promote vasomotor stability
- possibly treat an associated relative adrenal insufficiency
- given q 8 hours
9
Q
bile acid sequestrants
A
- benefit in severe cases to decrease enterohepatic circulation and recycling of thyroid hormones
- given q 6 hours
