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thyroid storm

tirodies is the gland responsible for the regulation of the metabolic system temperature regulation Protein synthesis / fat degradation. Synthesis of vitamin A. H2o regulation. Contraction of intestinal cells.

medicines Propylthiouracil: loading dose of 600 mg, followed by 300 mg every 6 hours. • Methimazole: 20-25 mg every 6 hours (both by gastric route).

management of temperature regulation

Administration of antithyroid drugs propylthiouracil and methimazioll that block thyroid hormone synthesis

Taking ekg to assess the presence of arrhythmias or tachycardia or rule out that it is a triggering cause

Venous access for hydration with intravenous fluids and electrolytes, to restore gastrointestinal losses and those insensitive to fever, sweating, vomiting and diarrhea

nursign care

Sings and Symptom

Agitation Alteration in the state of consciousness Tremors Sweating Hyperthermia

Treatment

Physical exam Anamnesis (mainly find out background) The most precise manifestations F.C greater than 130 per minute Temperature greater than 37 Changes in the state of consciousness

diagnosis

Have a permeable airway with administration of oxygen at 5 liters per minute per mask or nasal cannula Hyperpyrexia control with physical means such as body ice, alcohol sponges, acetaminophen. Fluid contribution electrolyte solution and glucose with 5% DAD in distilled water Administer IV thiamin to prevent Wernicke korsakoff syndrome