causes
Struma ovary
Thyroiditis
Toxic nodular goitre
Thyroid supplement
Graves disease
Clinical manifestations
Weight loss
Insomnia
Fast heartbeat
Hairloss
Fatigue
Thin skin
Irritability
Intolerance to heat
Nervousness
Weakness in upper arms and thighs
Eye irritation or inflammation; "bulging" eyes
Muscle aches
Pathophysiology
Thyroid storm is a decompensated state of thyroid hormone-induced, severe hypermetabolism involving muiltiple systems and is the most extreme state of thyrotoxicosis.The clinical picture relates to severely exaggerated effect of THs due to increasedrelease or, rarely, increased intake of TH.
Treatment
Drug treatment
Surgery
Radioactive iodine
Pharmachotherapy
Methimazole (Tapazple)
Propylthiouracil (PTU)
Propranolon (Inderal)
Atenolon (Ternomin)
Diagnostic studies
Iodine uptake scan
bloods
Thyroid scan
Nursing care plan
Risk for decreased cardiac output
Fatigue
Risk for Disturbed thought process
Risk for imbalanced Nutrition: Less than body requirements
Anxiety
Deficiency knowledge
Definition
It an excess of thyroid hormone in the body
image
Diet
oats
fresh or canned fruits
coffee or tea (without milk or dairy or soy-based creams)
non-iodized salt
unsalted nut or peanut
Nursing intervention
provide supplemental oxygen as ordered to help meet increased metabolic demands.
administer IV fluids as ordered.
anticipate aggressive treatment of precipitating factor.
provide balanced diet with six meals per day and document intake and output.
encourage the patient to eat and increase the number of meals and snacks. Give or suggest high calorie foods that are easily digested.
Provide an opportunity for the patient to discuss feelings about altered appearance and measures to enhance self-image.
