Complex Exam 4 - metabolism: thyroid Flashcards
What happens to the temperature of a patient with thyrotoxicosis?
hyperthermia: 104-105 (104.8+ = brain death)
What thyroid labs are increased due to thyrotoxicosis?
- T3
- T4
- TSH
What diagnostic tests are done for thyrotoxicosis?
- ultrasound (to visualize thyroid)
- radioactive iodine uptake (elevation = hyperthyroidism)
What should be done for fever with thyrotoxicosis?
- acetaminophen
- cool sponge baths
- ice packs
- cooling blanket
What signs and symptoms can occur with thyrotoxicosis?
- HTN
- delirium
- vomiting, abdominal pain
- chest pain, palpitations, tachydysrhythmias
- dyspnea
- restlessness
- fever
What thionamides can be used for thyrotoxicosis? What do these do?
- methimazole and propylthiouracil
- prevents further synthesis and release of thyroid hormones
When is sodium iodide given for thyrotoxicosis?
1 hr after thionamides
What beta blocker is given for thyrotoxicosis?
propranolol
What medication is given to help with shock and adrenal insufficiency from thyrotoxicosis?
glucocorticoids
What medication is contraindicated with thyrotoxicosis and why?
- aspirin
- increases thyroxine
What complications can occur with a thyroidectomy?
- airway obstruction
- hemorrhage
- laryngeal edema
- tracheal collapse
- mucus accumulation
- vocal cord collapse
- restlessness, stridor
What does hypocalcemia look like with thyrotoxicosis?
- tingling of fingers/toes
- muscle wasting
- positive Chvostek’s and Trousseau’s sign
What medication is given for hypocalcemia?
calcium gluconate
What precautions should be put in place for hypocalcemia?
seizure precautions
