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12 Cards in this Set
- Front
- Back
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A thyroid storm is a critical stage of what disorder?
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Hyperthyroidism
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Describe the pathophysiology of the transition from hyperthyroidism to a thyroid storm.
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It is NOT fully understood.
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An important intervention is to reverse dehydration from a thyroid storm. What causes this dehydration?
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Fever and loss of fluids from GI upset
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What occurs in the body during a thyroid storm, and what is the presenting symptom because of this?
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Excessive thyroid hormone causes increased metabolic activity which tremendous heat production a.k.a. FEVER!
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In a thyroid storm, muscular contraction and relaxation increases more rapidly causing ---------?
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Hyperreflexia of hyperthyroidism
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What medication can be used to prevent cardiac decompensation in a thyroid storm?
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Beta Blockers
(-olol drugs); propanolol is the most commonly used. |
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What intervention can be done by the nurse when trying to reduce hyperthermia created by a thyroid storm?
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Acetominophen (Tylenol) and a cooling blanket.
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What medication is contraindicated in a thyroid storm, and why?
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Aspirin; they prevent protein binding of T3 and T4, increasing the free, metabolically active, thyroid hormone.
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In a Thyroid Storm, if beta-blockers don't work, or are contraindicated, what drug will most likely be given?
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Calcium Channel Blockers
Ex: Diltiazem (Cardizem) |
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What nervous system is activated during a thyroid storm, and what symptoms does this cause?
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The Sympathetic Nervous System (SNS) and this causes Fever, Increased CO, Hypertension, Tachycardia, tremors, fatigue, tachydysrhythmias.
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Catabolism and negative nitrogen balance occur in a Thyroid Storm. What is Catabolism and what symptoms does it cause?
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Catabolism is when the body breaks down more protein than it can afford. It causes metabolic acidosis, increased intestinal peristalsis that leads to diarrhea, N & V; Dehydration leads to malnutrition and weight loss.
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In a thyroid storm, what complications of the lungs and heart may occur?
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Pulmonary edema and acute heart failure.
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