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Management of ABC's, may be AMS or unresponsive
IV fluids for rehydration due to diarrhea
Cardiac monitoring due to arrhythmias

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Management of ABC's, especially due to AMS or unresponsiveness
Possibly hypoglycemic, Treat with D50
Potential bradycardia that will not respond to Atropine. Definitive treatment would be to treat thyroid levels.

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Hypothyroid is the condition of insufficient production of the thyroid horomone from the thyroid gland.

Primary Causes of Hypothyroidism:
The Thyroid glad is the problem. The Thyroid is not producing hormones (most important is T3 and T4) regardless of the anterior pituitary gland telling it to do so ( Via releasing of TSH-Thyroid Stimulating Hormone). Lab values in this situation would show elevated TSH and low T3 and T4 values.

Conditions that would affect the Thyroid gland include:
-Hashimoto's thyroiditis (autoimmune disease)
-Iodine insufficiency
-Adverse effects from treatments for hyperthyroidism

Secondary Causes of Hypothyroidism:
The problem is with the Pituitary gland (Hypopituitarism). The Hypothalamus would release TRH (Thyrotropin releasing hormone) to stimulate the anterior pituitary gland to produce TSH, but pituitary gland will not do so. Common causes include:
-Tumours
-Infection

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Brain: Decreased sympathetic nervous system sensitivity.

Heart: Reduced levels of beta adrenergic receptor sensitivity. Decreasing inotropic and chronotropic actions. Reduced vascular motor tone.
-Bradycardia
-Hypotension

GI: Reduced GI motility and secretions
-Constipation

Skin: Reduced blood flow
-Dry skin
-Hair lost
-Brittle nails

Metabolism:  Reduced T3 and T4 -> decrease metabolism (Glycolysis, Lipolysis, Glycogenolysis)
-Weight gain
-Fatigue

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Grave's disease is an autoimmune disorder which is a common cause of hyperthyroidism.

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Also called thyrotoxic crisis, is the body experiencing an excessive release of thyroid hormones. (Misra)

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Releases hormones Triiodothyronine (T3) and Thyroxine (T4)

The thyroid uses iodine from the food we eat to make these hormones. (Brady)

These hormones regulate metabolism, from digestion to heart rate. So more T3 and T4 in the bloodstream, metabolism speeds up. Less of these hormones, metabolism slows down.

The pituitary gland manages the thyroid production (via hormone TSH) of T3 and T4.

Thyroid disorders can be caused by disease, cancer, diet and abnormal growth (to name a few).

These disorders will disturb the balance of these thyroid hormone levels in the body

The thyroid also makes calcitonin which helps to regulate the calcium levels in the body.

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What is a prehospital treatment for thyroid storm? Choose best answer.

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What is a prehospital treatment for thyroid storm? Choose best answer.

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A. Glucagon
B. Manage ABC's and immediate transport
C. Diazepam
D. Call for orders for Albuterol Nebulizer treatment

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Signs and symptoms of a thyroid storm could also present as:

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Signs and symptoms of a thyroid storm could also present as:

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A. Bronchospasm
B. STEMI
C. Hypoglycemia
D. Myxedema

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Chronic and severe hypothyroidism
Life-threatening illness
Symptoms include: hypotension, bradycardia, hypoglycemia, and hyponatremia.

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A. Graves' Disease
B. Parkinson's Disease
C. Addison's Disease
D. Crohn's Disease

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The pituitary gland releases ___ to stimulate the thyroid gland.

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The pituitary gland releases ___ to stimulate the thyroid gland.

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A. Calcitonin
B. T3
C. TSH
D. T4

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Enlargement of the thyroid in graves disease

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What autoimmune disease is a common cause of hypothyroidism?

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What autoimmune disease is a common cause of hypothyroidism?

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A) Hashimoto's

B) Addison's

C) Lou Gehrig's

D) Kawasaki's

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Hypopituitarism can be caused by tumors.

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Hypopituitarism can be caused by tumors.

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A) True

B) False