Thyroid Storm

Question 1

Is the airway usually compromised with thyroid storm?

Answer 1

No

Question 2

What happens to the pulse pressure with thyroid storm?

Answer 2

Increases

Question 3

What is the most common rhythm and dysrhythmia for thyroid storm?

Answer 3

Sinus tach and a-fib respectively

Question 4

What is the most common trigger of thyroid storm?

Answer 4

Infection

Question 5

What are the eye findings of thyroid storm?

Answer 5

Lid lag and stare

Proptosis

Question 6

What will the lung exam show with thyroid storm?

Answer 6

Findings suggestive of HF

Question 7

What will the cardio exam show with thyroid storm?

Answer 7

• Rub

- Hyperdynamic precordium

Question 8

What antiarrhythmic can cause thyrotoxicosis?

Answer 8

Amiodraone

Question 9

What psych med can cause thyrotoxicosis?

Answer 9

Li

Question 10

What is the general presentation of thyroid storm?

Answer 10

Hypermetabolic state with tachycardia out of proportion to the fever

Question 11

What are the CNS findings of thyroid storm?

Answer 11

Delirium-coma

Seizures

Question 12

What are common triggers of thyroid storm?

Answer 12

• Infection
• MI
• med change
• stroke
• Pregnancy

Question 13

What percent of T3 and T4 are bound to proteins in the serum?

Answer 13

99% + for both

Question 14

What are the drugs used to treat thyroid storm?

Answer 14

PTU
Beta blockers
Dexamethasone

Question 15

What is the role of dexamethasone in the treatment of thyroid storm?

Answer 15

Blocks peripheral conversion

Question 16

Which beta blocker is preferred for use in treating thyroid storm?

Answer 16

Propanolol

Question 17

When should Iodine be started in the treatment of thyroid storm?

Answer 17

No sooner than one hour after beginning the thiourea (PTU)

Question 18

What is the mortality rate (low, med, high) or thyroid storm?

Answer 18

High