Study Tip: Myxedema Coma

Myxedema coma – a rare life-threatening form of hypothyroidism. It is a disorder characterized by hypoventilation, hypoglycemia, and hypotension. The client with myxedema presents with severe metabolic disorders, generalized nonpitting edema, puffy face, weakness, hypothermia, cardiovascular collapse, and coma.
Diagnostic tests: blood gases, electrolyte levels, ECG, blood sugar, and thyroid hormone levels. Intravenous fluid, electrolyte replacement, intravenous cortisol or other adrenal cortical hormone are used in the treatment. Warm blanket for low body temperature, glucose supplements for hypoglycemia.

Content area: Med-Surg | Endocrine

Study Tip: Thyrotoxicosis

Thyrotoxicosis (Thyroid Storm) – a form of severe hyperthyroidism that can be precipitated by stress, injury, or infection. It is a life-threatening emergency. Manifestations of thyroid storm include temperature above 102 degrees F (39 degrees C) – with this high temperature, all organ systems will be affected, tachycardia, abdominal pain, systolic hypertension, N/V, confusion, agitation, tremors, and possible seizures. Management of treatment requires careful follow-up by an endocrinologist. Medications include antithyroid medications and radioactive iodine.

Content area: Med-Surg | Endocrine