thyroid emergencies ppt

1332-1334 Probably dont remember the information from when you were in Pharm Will help you on test and on NCLEX Key information in caring for patients who are taking corticosteroids Emergency Care. Prompt recognition of these stateswhich repre-sent the severe life-threatening conditions of extremely reduced or elevated circulating thyroid hormone concentrations respectivelyis neces-sary to initiate treatment.

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Acute adrenal insufficiency.

. Thyroid Emergencies PowerPoint Presentation. Forgetfulness and mental Bradycardiaslowing Decreased cardiac output Paresthesias Pericardial effusion Carpal tunnel syndrome Reduced voltage on EKG Ataxia and decreased and flat T waveshearing Dependent edema Tendon jerk slowed withprolonged. Winner of the Standing Ovation Award for Best PowerPoint Templates from Presentations Magazine.

Slide 4- ppt slide no 4 content not found. Theyll give your presentations a professional memorable appearance - the kind of sophisticated look that. Tx-Oxygenation fluid and monitoring.

Thyroid Storm Thyroid storm also know as thyrotoxic crisis is an acute state of hyperthyroidism where all of the signs and symptoms are exaggerated. Temperature 99-104 5-30points mental status change mild-severe 10-30 cardiac dysfunction tachycardia 90-140 5-25 points CHF mild-severe 5-15 points A-fib 10 points precipitating event 10 points 45 points thyroid storm. Total Bound to TBG.

T 4 which has a longer half-life functions as a prohormoneEighty percent of T 3 is produced by deiodination of the tyrosine rings of T 4 by tissue deiodinases. Hormones are released from the thyroid and vast majority are protein bound TBG and deposited in peripheral cells. Prompt recognition of these states-which represent the severe life-threatening conditions of extremely reduced or elevated circulating thyroid hormone concentrations respectively-is necessary to initiate t.

Because thyroid hormones are protein bound the most common test used to measure peripheral thyroid hormone is an analogue free T 4 fT 4 assayWhile this assay is usually reliable the indirect methodology used may make it difficult to interpret in severe illness or pregnancy. 2 Spectrum of Endocrine Emergencies. Emergency Treatment of Myxedema Coma O2 - intubation ventilation if resp.

Thyroid hormone synthesis metabolism and action. So hyper there is Excess thyroid hormone in the blood and this lead to changes in structure and function. Slide 6- Maria de Medici wife of King Henry IV of France in 1625 with a.

Signs and Sx-high fever delirium coma tachycardia Hypotn vomiting and diarrhea. T4 has 4 iodine atoms removal of one produces T3. Myxedema coma represents the most extreme lifethreatening expression of severe hypothyroidism with patients showing deteriorating mental status hypothermia and multiple organ system abnormalities.

End stage of untreated or insufficiently treated hypothyroidism. Myxedema coma and thyroid storm are among the most common endocrine emergencies presenting to general hospitals. Endocrine Emergencies 1 Endocrine Emergencies.

Thyrotoxic crisis thyroid storm Caused by Graves. -PTU or methimazole- decreases thyroid production -PTU- 600-1000mg PO initially then 200-250mg PO every 4 hours -Methimazole- 40mg PO initially then 25mg every 4 hours -Dont use methimazole in pregnant patients in first trimester -Potassium Iodide or Lugols solution- blocks release of thyroid hormone. Thyroid Emergencies ABSTRACT Myxedema coma and thyroid storm are thyroid emergencies associated with increased mortality.

Myxedema coma and thyroid storm are thyroid emergencies associated with increased mortality. Thyroid status can also be assessed by measuring circulating T 4 and T 3 levels. Failure Rapid blood glucose check - IV D50 - Naloxone Hydrocortisone 100 to 250 mg IVP Cautious slow rewarming warm O2 scalpgroinaxilla warm packs NG lavage Thyroxine T4 500 micrograms IV then 50 mcg qd IV Add 25 mcg triiodothyronine T3 PO or by NG q 12h if.

Addisonian Crisis Adrenal Insufficiency Addisonian Crisis Addisonian Crisis is an acute exacerbation of symptoms in someone with. It can be life threatening but with quick response can be controlled and managed Triggers Trauma Infection Surgery Thyroid Storm Treatment is largely symptomatic and etiology dependent Look back at the treatments in your. Iodine enters thyroid gland and is used for T3 and T4 production.

Review Corticosteroid Therapy on pp. Slide 5- Ancient Greek and Roman coins showing goiters. 3 Myxedema Coma 4 Myxedema Coma.

Nervous system Cardiovascular. Thyroid StormAdditional Optional Meds Lithium carbonate 600 mg POFollow-on dose 300 mg PO tid Colestipol resin which binds T4 in the gut 10 grams POFollow-on dose 10 grams PO tid Consider sedatives such as benzodiazepines but beta blockers are the mainstay of therapy. Up to 24 cash back Thyroid Emergencies Joanna Klubo-Gwiezdzinska MD PhDab Leonard Wartofsky MD MPH MACPc Thyroid emergencies are rare life-threatening conditions resulting from either severe deficiency of thyroid hormones myxedema coma or by contrast decompensated thyrotoxicosis with the increased action of thyroxine T4 and triiodothyronine.

Thyroid hormone usually refers to both thyroxine T 4 and triiodothyronine T 3The thyroid synthesizes primarily T 4 but also synthesizes T 3T 3 is thought to be the biologically active form of the hormone. Worlds Best PowerPoint Templates - CrystalGraphics offers more PowerPoint templates than anyone else in the world with over 4 million to choose from. Fatal within 48 hours.

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Thyroid Emergencies