Tailored Information by Population for Hyperthyroidism

  Tailored Information by Population

Tailored Information for Thyroid Storm

1. Definition Thyroid storm refers to a condition that occurs when there is excessive exposure to thyroid hormone, causing overactivation of the sympathetic nervous system and an excessive response.

2. Triggering Factors These include undergoing non-thyroid surgery without knowing that the patient has hyperthyroidism, infection, trauma (typically pharyngitis, pneumonia), and childbirth. In addition, iatrogenic causes are as follows.

· Abrupt discontinuation of antithyroid drugs · Rapid administration of iodine without treatment with antithyroid drugs · Immediately after radioiodine therapy without pretreatment with antithyroid drugs

3. Clinical Symptoms · Early characteristic symptoms include high fever, rapid pulse, and changes in mental status.

① General symptoms · High fever     · Excessive sweating     · Weakness, fatigue

② Cardiac symptoms · Tachycardia: If thyroid storm persists, rapid arrhythmia may develop and place a burden on the heart.

③ Gastrointestinal symptoms · Diarrhea     · Nausea     · Vomiting     · Abdominal pain

④ Psychiatric symptoms · Extreme anxiety     · Extreme fear     · Confusion

4. Treatment · Remove all triggering factors · Administer oxygen and glucose-containing fluids · Treat high fever with external cooling and acetaminophen   ※ Aspirin is not used because it has the effect of increasing thyroid hormone levels. · Beta-adrenergic blockers: treatment for tachycardia, tremor, and anxiety · Administer propylthiouracil and potassium iodide · Steroid administration: suppresses the secretion of thyroid hormone · Administer sympathetic nerve blockers · Peritoneal dialysis, hemodialysis: reduction of T3 and T4 levels

So far, I have explained tailored information by population for hyperthyroidism. In the next installment, we will look at the overview and symptoms I of chronic rhinitis.

Source: Korea Centers for Disease Control and Prevention, National Health Information Portal