Thyroxine is an iodine-containing, thyroid hormone produced by the thyroid gland. Along with thyroxine, triiodothyronine is also produced in the thyroid gland. Thyroxine usually is converted into triiodothyronine by enzymes in target cells called deiodinases. Concentrations of thyroxine are usually greater in the body, but triiodothyronine is considered the major thyroid hormone. Thyroxine production is controlled by the pituitary gland. The hypothalamus will secrete thyrotropin-releasing hormones that stimulate the pituitary gland to secrete thyroid-stimulating hormone (TSH). TSH fuels the production of the thyroid hormones, thyroxine and triiodothyronine. 1 TSH will be triggered to release into the blood any time thyroxine levels are low.…
Summary: There are three main therapeutic managements available for hyperthyroidism: thyrostatic drugs, radioiodine therapy, and surgery (Gurgul & Sowinsky, 2011). Rationale: (Gurgul & Sowinsky, 2011). There are two thyrostatic drugs available: methimazole and propylthiouracil. They inhibit thyroid hormone synthesis and release. Usually, the initial dose for methimazole is 40-80 mg/day, while the initial dose for propylthiouracil is 300-400 mg/day. It is necessary to recheck the levels of T3…
the final experiment, we injected rat #1 with Propylthiouracil, which caused a 15% decrease in the metabolic rate. The drug Propylthiouracil is used to block the production of thyroid hormones (Widmaier et al., 2014). Injecting the healthy control rat with this drug inhibited the thyroid from being able to produce T3/T4, therefore causing the decrease in the metabolic rate. Unlike the control rat, rat #2 was a Thyroidectomized rat(Tx) meaning that the thyroid gland was surgically removed. In…
metabolism, brain development, breathing, heart and nervous system functions, body temperature, muscle strength, skin dryness, menstrual cycles, weight, cholesterol levels. The common signs and symptoms of Graves’Dissease: nervousness and irritability, fatigue, muscle weakness, heat intolerance, difficulty sleeping, hand tremors, rapid irregular heartbeat, weight loss, fine hair and hair loss, frequent bowel movements, diarrhea, bulging eyes, sometimes causes a goiter. Diagnosis…
The individual’s physician may also select to order either an ultrasound or a nuclear medicine scan of the thyroid to see if it has nodules, or whether it’s irritated or overactive. For the treatment, it varies on the severity and main cause of the symptoms, age, pregnancy, other conditions, and the possible side effects of the medication. The individual will be given antithyroid medications that will hinder with the production of thyroid hormones (methimazole and propylthiouracil is used only…
There are two primary concerns for the anesthesiologist. The first is thyroid storm is a life-threatening syndrome and requires immediate recognition and treatment. The second is diagnosis and treatment of the underlying disorder causing thyrotoxicosis. Clinical evaluation of patients with suspected thyrotoxicosis is important because it may reveal a specific cause. Attention should be paid to the neck, eyes, neurologic, cardiac, pulmonary, and integumentary systems.8 The plan for a…
CASE PRESENTATION A. INTRODUCTORY SENTENCE The patient is a 52-year-old male approximately 5’7 tall, has a slim figure, and prominent eyes, but has no problems in vision. He lives with his wife, who is also asthmatic and hypertensive, and their only son who is currently working with the local government office. He is full of energy almost always. He puts full attention on things that catches his interest. He was diagnosed with Hyperthyroidism in 2006, soon after he could not get up from his bed.…
such as nervousness, rapid pulse rate, and shakiness, all of which beta blockers serve to eliminate or lessen. Beta blockers can mediate the negative effects of Graves’ disease until long-term treatment can supplant this temporary treatment. After Ellie’s diagnosis of Graves’ disease was confirmed by the uptake test, her endocrinologist explained several options for long-term treatment, which are listed below. For each treatment, describe the major advantages and disadvantages.…
radioactive iodine taken in by the patient is dependent on the magnitude of the thyroid. A physician can determine the size of the thyroid by taking an ultrasound then once this is done it can give the physician a idea of the amount of iodine the patient will need to receive. When taking in a lot of iodine it is important to drink a great amount of water. The excess iodine that is not taken in by the thyroid will come out through the patient’s urine. Another treatment that can help with Graves’…
hyperthermia mattress, and acetaminophen should be used if indicated (Pullen & Embrey, 2013, p. 16). Also, because of the increase in metabolism and temperature, another important assessment in thyroid storm patients is fluid status, including hourly urine output, daily weight, blood pressure, mucous membranes, blood urea nitrogen, creatinine, and electrolyte balance (Pullen & Embrey, 2013, p. 16). Multiple medications are used to treat the symptoms, as well as the cause of thyroid storm…