Thyrotoxicosis

Question 1

thryotoxicosis

Answer 1

complx of hyperthyroidism

Question 2

when is thyrotoxicosis seen?

Answer 2

if pt is not treated or if hyperthyroidism is not yet Dx

Question 3

what is thyrotoxicosis a presentation of?

Answer 3

grave’s disease

Question 4

what can it be precipitated by?

Answer 4

stress (ex. resp infection, DKA, thyroidectomy)

Question 5

what are the manifestations of thyrotoxicosis?

Answer 5

• fever
• severe CV & CNS problems
• increased metabolic rate & altered pathways
• increased mortality rate
• increased demand for O2 & waste removal
• abundance of metabolic heat

Question 6

explain the mnftn of metabolic heat

Answer 6

increased metabolism = increased prod of ATP and heat –> sweating and vasodilation (increased tolerance to heat, compensate heat loss mechanisms)

Question 7

explain the mftn of increased metabolic rate

Answer 7

use up CHO stores, which leads to increased protein and lipid catabolism (breakdown)

Question 8

explain CV and CNS problems

Answer 8

CV: angina, tachycardia, CHF
CNS: delirium, agitation, irritability, insomnia

Question 9

explain increased demand for O2 & waste removal

Answer 9

will have increased HR and CO