Thyroid strom Flashcards
1
Q
What is a thyroid storm?
A
State of severe hypermetabolism
Too much thyroid hormone
All hyperthryoid sx become exaggerated
LIFE-THREATENING MEDICAL EMERGENCY!!
2
Q
Name some causes
A
Someone with hyperthyroidism stops taking their meds
Infection**
Following surgery
3
Q
How does it present?
A
A marked fever (>38.5) CV: Hr >140, hypoTN, AF, CHF GI: N/V, diarrhoea, jaundice Neuro: seizures, confusion Death – arrhythmias, heart failure or hyperthermia
4
Q
What Ix do you do?
A
Septic screen
TFT, ECG, CXR, ABG
5
Q
How is it mx?
A
ASAP!!
Rx infection
Resus: O2, IV fluids, NG tube (Vomiting)
IV Propanolol
Oral antithyroid drugs
Potassium iodide (reduced vascular flow to gland)
IV hydrocortisone
Dexamethasone - blocks conversion of T4 to T3
**Keep cool with tepid sponging and paracetamol!!
