Thyroid Related Emergencies
Function of the Thyroid Gland
Growth Rate
Other Body Mechanisms
Metabolic Rate
Hyperthyroidism
Hypothyroidism
Thyrotoxicosis: Excess thyroid hormones in the blood
Nervousness, sweating, heat intolerant
Graves' Disease: enlarged thyroid
Cold intolerant
Delayed tooth eruption
Deficient thyroid secretions.
Commonly on HR Therapy
Thyroid Storm
Myxedema Coma
When thyroid levels become too low.
EXTREME hyperthyroid state
Main goal: stabilization until hospitalized.
Life threatening emergency
PABC: make sure patient is comfortable,
open airway, maintain oxygen, monitor vitals.
EMS: will admin IV Fluids.
Main Goal: Normalize patient temperature.
Fatal if left untreated.
Admit to hospital ASAP
I.V. admin of thyroid hormone replacement.
Myxedema Symptoms
Thyroid Storm Symptoms
Bradycardia
Changes in BP
Cool, dry skin w/ nonpitting edema
Constipation
Facial conditions
Seizures
Hair Loss
Impaired mobility
Hypothermia <95 degrees
Hypoventilation
Deterioration of mental state
Coma, which is rare
apathy
depression
confusion
psychosis
Psychosis
Gastrointestinal symptoms
Anxiety
Increased systolic BP
Confusion
Tachycardia
Restlessness
Widened pulse pressure
Diaphoreses
Arrythmias
Fever up to 108 degree