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Thyroid Storm - Coggle Diagram
Thyroid Storm
S&S
Hyperthermia
weakness
Increased vitals (HR, RR, BP)
Diaphoresis
Anxiety/ agitation
Chest pain
dysrhythmia (Afib)
High output HF
hypeglycemia
Patho/ Etiology
Increased metabolic activity in individual cells
Increase in use of O2 and ATP
Excessive production of T3/T4 (negative feedback loop not responsive)
Excessive SNS activation
Triggered by stress (releases catecholamines)
Typically an exacerbation of hyperthyroidism
Labs/ diagnositcs
Thyroid panel
WBC
Glucose (high)
cortisol (low)
EKG
Collaborative Treatment
Reduce body temp
beta blockers
anti-thyroid meds
benzodiazepines
dexamethasone
Risk Factors
Hyperthyroidism
Thyroid injury
DKA
Abrupt cessation of thyroid meds
Complications
Often fatal