Treatment for thyroid storm

Treatment for thyroid storm: The immediate objectives are to reduce body temperature and heart rate and to prevent vascular collapse. Measures to reduce the temperature include a hypothermia mattress or blanket, ice packs, a cool environment, hydrocortisone, and acetaminophen. Humididied oxygen is administered to improve tissue oxygenation and meet the hig metabolic demands. Arterial blood gas levels or pulse oximetry may be used to monitor respiratory status. Intravenous fluids containing dextrose are administered to replace liver glycogen stores that have been decreased in the hyperthyroid patient. PTU or methizmazole is administered to impede formation of thyroid hormone and block conversion of T4 to T3, the more active form of thyroid hormone, Hydroctione is prescribed to treat shock or adrenal insufficiency. Iodine is administered to decrease output of T4 from the thyroid gland. For cardiac problems such as atrial fibrillation, dysrhythmias, and congestive heart failure, s...