Thyroid

Question 1

Thyroid gland producing excessive thyroid resulting in high metabolic rate

Answer 1

Hyperthyroidism

Question 2

Hyperthyroidism more common in

Answer 2

Females
20 to 40 years of age

Question 3

Sweating
Weight loss
Appetite increased
Intolerance to heat
Exophthalmos
Erythema, fine hair
Goiter and GI problems

Answer 3

Hyperthyroidism

Question 4

Dental management considerations for hyperthyroidism pts

Answer 4

Avoid retraction cord with epi with all pts
Avoid epi with poorly controlled hyperthyroid pts

Question 5

Sweating
Heat intolerance
Tachycardia
Warm,thin, soft, moist skin
Exophthalmos
Tremor

Answer 5

Thyrotoxic crisis

Question 6

Thyrotoxic crisis managemnet

Answer 6

Terminate dental procedure
Supine with legs elevated
ABCs, 911
Oxygen
IV of 50% dextrose and water, saline
Wet packs and ice packs

Question 7

Thyroid gland doesn’t make enough thyroid hormone

Answer 7

Hypothyroidism

Question 8

Common medications for hypothyroidism

Answer 8

More common in females
Levothyroxin T4
Liothyronine T3

Question 9

Weakness
Weight gain/ difficulty loosing weight
Coarse dry hair
Dry, rough, pale skin
Hair loss
Cold intolerance
Muscle cramps

Answer 9

Hypothyroidism

Question 10

Special consideration for hypothyroid pts

Answer 10

Uncontrolled- avoid CNS depressants such as narcotics, barbiturates and sedatives

Controlled/mild- use CNS depressants with caution

Question 11

Severe hypothermia
Hypoventilation
Hypoxia
Hypercapnia
Hypotension

Answer 11

Myxedema coma

Question 12

Myxedema coma management

Answer 12

911
Cover pt to conserve body heat
Hydrocortisone 100-130mg
Thyroxine
IV saline
Glucose