What is Hyperthyroidism?
When the thyroid gland is overactive, it overstimulates metabolism and aggravates the effect of the sympathetic nervous system, causing the body’s processes to speed up.
Symptoms of hyperthyroidism include:
-Nervousness or anxiety, irritability.
-Heart palpitations, hand tremors.
-Excessive sweating & heat intolerance, in which
-The skin is continuously flushed, warm, soft, & moist,
-However, elderly patients may report dry skin with itching.
-Tachycardia (fast heartbeat), Atrial fibrillation, and elevated systolic BP.
-Hyperactivity, insomnia, increased metabolic rate, increased frequency of bowel
movements, and weight loss despite increased appetite.
-Osteoporosis & fracture, fine, brittle hair, with hair loss, muscle aches & weakness,
fatigue, light or infrequent menstrual cycles & problems with fertility.
-A goiter (enlarged thyroid gland) may also develop.
The course of the disease may be mild or may progress continuously if untreated, leading to:
and eventually heart failure.
-rare, severe hyperthyroidism
-severe increase in metabolism
-precipitated by a major stressor, inadequate treatment, or
-prescribed therapy stopped
Signs & symptoms of thyroid storm:
-increased tachycardia or onset of dysrhythmias
-worsening tremors & restlessness
-worsening mental status – delirious or psychotic state or coma
Patients managed in critical care unit –
lower metabolic rate
manage cardiovascular status & hyperthermia
Hyperthyroidism causes an overall increase in metabolism, so all body processes speed up & are evidenced by the signs & symptoms we’ve discussed today.