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THYROID CRISIS/STORM (CAUSES AND RISK FACTORS (myocardial infarction,…
THYROID CRISIS/STORM
CAUSES AND RISK FACTORS
myocardial infarction
surgery
severe infection
iodine contrast reaction
withdraw of anti thyroid drugs
removal of thyroid gland
DKA
CLINICAL MANIFESTATIONS
hyperactivity and restlessness
infrequent blinking
weight loss despite a good appetite
muscle weakness
rapid speech and movement
confusion
DIAGNOSTIC PURPOSE
CNS
Gastrointestinal hepatic dysfunction
check temperature
vital signs
ECG
DIET
fresh or canned fruits
unsalted nuts and butter
homemade bread without salt, dairy
healthy fats; avocado,olive oil
non-iodized salt
NURSING INTERVENTION
ensure that the patient is well ventilated
hydration is maintained by means of IV
ensure that appropriate drugs are given
give sedative to reduce restlessness
PATHOPHYSIOLOGY
before surgery or early postoperative period
increased amount of thyroxin circulating
rare complication of hyperthyroidism
when the thyroid gland is being removed
PHARMACOLOGICAL TREATMENT
iodine
radioactive iodine
beta blockers
methamazole or propylthiouracil
HEALTH EDUCATION
discourage food rich in caffein
stay in a well ventilated area
encourage a patient to get enough sleep
encourage a patient to be well hydrated
DEFINITION
exacerbation of hyperthyroidism
over production of hormones
Life threatening
NURSING CARE PLAN
PLAN
chest readiography
small frequent soft preferable meals
give digoxin and continue monitoring ECG
tap sponging for hyperpyrexia
increase fluids replacement
assess heart failure or pulmonary edema
give mexalon
EVALUATION
no crackles present
subside fever
normal heart beat
no nausea
NURSING DIAGNOSES
sudden on set fever
nausea / vomitus
TACHYCARDIA
crackles may be present
REFERENCES
https;//nursingcrib.com
https;//www.regisrerednurserncom
SURGERY
thyroidectomy