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Thyroid storm 377px-Thyroid_vector.svg (Causes (Severe undertreated…
Thyroid storm
Definition
Untreated or under-managed hyperthyroidism
Diagnostic procedures
Review serial serum electrolytes
Review serial ABGs for hypoxemia
blood testS
Review chest radiographs for cardiac enlargement
Pathophysiology
Causing cytokines release and immunological disturbances
Hyperactivity of sympathetic nervous system
Rapid increase in thyroid hormone levels
Causes
Severe undertreated hyperthyroidism
Infection associated with hyperthyroidism
Untreated overactive thyroid gland
Severe emotional distress
Stroke
Surgery
Symptoms
Tachycardia that exceeds 140 bpm
High fever
Agitation
confusion
Unconsciousness
Nursing interventions
Supplementary oxygen
Reduce oxygen demands by decreasing anxiety,
Assess for heart failure or pulmonary edema
Institute pressure ulcer strategies
Administer dextrose-containing intravenous fluids
Treatment
Iodine
Beta Blockers
Antithyroid Medications
Corticosteroids
