Thyroid storm (thyrotoxic crisis) is a life-threatening exacerbation of hyperthyroidism requiring immediate intervention to reduce hypermetabolic state and stabilize cardiovascular function. Symptoms include: hyperthermia (>38.5°C), tachycardia, hypertension, agitation, delirium, heart failure, and gastrointestinal distress. Nursing interventions: administer beta-blockers (propranolol) for tachycardia; give antithyroid drugs (PTU or methimazole); provide cooling measures; administer corticosteroids (blocks T4 to T3 conversion); monitor for heart failure; and treat precipitating cause (often infection, trauma, surgery). Patients typically require ICU care. Documentation includes vital signs, neurological status, and interventions. Prevention involves adequate treatment of hyperthyroidism and stress-dose steroids during surgery for Graves' disease patients. Nurses must recognize early signs to prevent progression to multiorgan failure.

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Zambia

• Joseph Soko – 101 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies