ไม่สามารถเล่นวิดีโอนี้
ขออภัยในความไม่สะดวก
Thyroid Storm vs. Myxedema Coma | Endocrine System (Part 6)
ฝัง
- เผยแพร่เมื่อ 16 ส.ค. 2024
- For this 6th and final lesson, we take a look at Thyroid Storm vs. Myxedema Coma. Both disorders dealing with inappropriate levels of thyroid hormone but on completely opposite spectrums. To start, we do a quick review of the thyroid hormone; where it comes from and what it does.
From there we move on to talk about Thyrotoxic crisis, commonly referred to as Thyroid storm. We talk about this being a crisis of having too much thyroid hormone and how it is important as it can lead to death, as well as some of its causes and talk about the theories behind its patho. From there we talk about the signs and symptoms, how it is diagnosed and then ultimately the treatment that we can provide for our patients in this crisis.
Next we move on to talk about Myxedema Coma, which is on the other end of the spectrum from thyroid storm, as we now have a disorder of have too little thyroid hormone. We really stress that this is a grave condition and absolutely life threatening. We cover some of the causes of the precipitating stress event and what that means to our patients. We also cover the signs and symptoms, talk a little about diagnosing these patients, and most importantly the treatment that we would provide for them.
Hopefully with this lesson you will have a better understanding of these two thyroid hormone disorders. They are quite different from each other and have very different treatment modalities, but ultimately they both are dealing with an issue with thyroid hormone.
+-+-+-+-+
Please if you enjoyed this video or found it useful, hit the like button as this greatly helps our channel out!
Also make sure and subscribe and hit the bell icon and select all notifications to stay up to date on our latest videos!
Finally make sure to make your way over to our Facebook page and give us a like and shout out over there!
/ icuadvantage
+-+-+-+-+
Don't forget to check out the playlist for this series of lessons here: • Endocrine System
Also check out these other great lessons and series of lessons below!
Hemodynamics Principals: • Hemodynamic Principals
Shock: • Shock
Arterial Blood Gases: • Arterial Blood Gases (...
ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
Heart Failure: • Heart Failure
Blood Tubes - Order of Draw: • Order of Draw and Addi...
Glasgow Coma Scale: • Glasgow Coma Scale (GC...
+-+-+-+-+
Track: whogaux - i don't care [NCS Release]
Music provided by NoCopyrightSounds.
Watch: • whogaux - i don't care...
Free Download / Stream: ncs.io/idontcare
+-+-+-+-+
#EndocrineSystem #ThyroidStorm #MyxedemaComa #ICUAdvantage
Great job explaining for the average person to understand and in a compelling way that holds my attention being a long time extreme hashimoto thyroiditis survivor
Eddie, I am going through my ICU training, and it isn't for you, I dont know what I d do!!! thank you for your help in simplifying the concepts and summarizing them so well. KEEP DOING what you are doing! your patients and students are very lucky to have you! Thank you!!
I have hypothyroidism problem, after taking Dr iyaremoses on TH-cam herbal medicine am permanently free doctor link#driyaremoses.
Սոյայի հատիկ 🦍🦍🦍🦍🦍🦍🦍🦍🦍🦍🦍🦍🦍 2078¿!¡
I just went through the entirety of hemodynamic and shock. I did very well on my first exam. Your channel is gold!!! Thank you for what you do, your hard work in explaining and creating these vivid videos have allowed me to learn such important concepts in the only way my brain lets me.
Awesome! Thank you for this and I'm so glad that the videos were helpful for you. It's always good to hear that people have found them useful and thats great that you did so well on your exam. Really appreciate the feedback!
I'm taking an endocrine exam tomorrow. This is very helpful. I will watch more of your videos the rest of my nursing career.
AGACNP student here! Thanks for the video :) very helpful to see the two compared side by side!
Very cool! Glad that you found this comparison to be a good one for you. Good luck with your schooling. 🙂
Very conceptual video...I studied thyroid storm earlier...but not this way... the way you taught it....it got engraved in my memory...Please continue this series...Disease amd its clinical care
Thank you and yes I have a whole series on the endocrine system!
I have hypothyroidism & Im struggling to balance my thyroid. My Dr. doesn't listen to me, and I have episode's of shortness of breath, slowing down, not wanting to even speak or move, I'm so fatigued. Seems to last a full day. But I am on the lowest dose of thyroid possible, but when I take it daily, it feels like too much. I felt adrenaline every damn day, even while resting. So I started taking it every 3 days instead of daily for the last 2 months. Which felt fine, but now I can barely move and am wearing a sweater in summer, so Im thinking I need to move my doses closer. I'm glad I at least can watch this video to understand worse case scenarios myself to know whether or not I should be concerned and what to address with my Dr... When I look back to 2yrs ago, the only time I felt absolutely good with energy and clarity is when I was on steroids for an allergic reaction. I'm desperate now to learn more and feel normal again. I will definitely be digging into more videos from your channel. They are straight to the point and clear. 👍Thank you!
New to ICU, and these are SO helpful to watch and refer to during my training!!
Great to hear! Wishing you the best in your new role. Theres a lot of great videos here so hopefully should give you plenty to follow up on what you come across.
Gi pain, dizziness, lethargy.... thyroid storm symptoms. Been there. Starts and ends before paramedics can even arrive.
Thank you guys so much for watching! Please leave us a like if you enjoyed the video. We truly do appreciate it! Also we love hearing your comments so feel free to tell us what you think of the video. We hope that after this lesson, you will have a good understanding of these two different thyroid hormone disorders. They are both very serious and potentially life threatening. And while they both deal with thyroid hormone imbalances, they are quite different from each other with very different presentations and treatments.
Don't forget to check out these other great lessons that we have available!
Hemodynamics: th-cam.com/play/PL2oVjKTYocdMBZlcIcWlESbOFFaGugQS2.html
Shock: th-cam.com/play/PL2oVjKTYocdPP0K8Fi49GfUgprICS-xMf.html
Blood Tubes - Order of Draw: th-cam.com/video/mAmwdDdbkUI/w-d-xo.html
Arterial Blood Gases: th-cam.com/play/PL2oVjKTYocdMz1qF-3iS6iUZ-R_fKbeJw.html
ECG/EKG Interpretation: th-cam.com/play/PL2oVjKTYocdPMaNwn4xbg6xAIaAnyraMj.html
Glasgow Coma Scale: th-cam.com/video/zYwJVPIjW6I/w-d-xo.html
Heart Failure: th-cam.com/play/PL2oVjKTYocdNdFoS31yGhylKwib9lRf73.html
Don't forget to check us out and give us a like on Facebook as well! facebook.com/ICUAdvantage
Thank you for this very simple and clear discussion. Just wondering why you didn’t mention the importance of a high TSH lab result when caring for a myxedema patient. Thank you for all of your hard work!
To be honest endocrine isn't one of my strongest areas as my background is Trauma and CVICU, but a friend of mine had requested an endocrine series and hence making this series. I'm sure I missed a few things, but hopefully hit the major stuff!
ICU Advantage You did a fantastic job! I am an emergency nurse and this is only the second myxedema case I’ve seen in 9 years, so even though it is not rare, it sure seems to be uncommon. So my hat is off to you! Keep up the great explanations 👍🏼
@@aliciaellis6559 Thank you so much! Really humbled to hear this. 🙂
@@aliciaellis6559 What tsh level do you normally see in patients with myxedema or who are at the beginning stages of it?
Great explanation that was easy to digest. Thank you!
Thanks so much Michael. Happy to hear this!
So far the best explained information!!
Yay! Glad to hear this!
Great complete review of endocrine system
Thank you and really glad you liked it!
That's true, in the Thyroid hormone problem leading to Thyroid storm some diagnostic tests or combination of which leads to medical practioners to the diagnosis of Thyroid storm based on symptoms because there are things in the environment unconfirmed or undiagnosed yet but it's effects manifests like the existence of Dark matter, it's unobservable but it's effects are undeniable though studies have to be accelerated for other important details.
God bless you!
I thought that iodine helped make thyroid hormone. How come you would give it for thyroid storm vs myxedma?
Very helpful, thanks
This was so helpful! Thank you so much!!!
All thanks to Dr iyaremoses on TH-cam for curing me permanently from hypothyroidism with herbal medication..
graves went into thyroid storm and heart failure currently on neomercazole
really awesome videos
Thank you!
Good stuff. Understandable
Glad to hear it!
So does hypothyroidism cause vasodilation or is the hypotension from reduced catecholamine sensitivity? Thank you.
All thanks to Dr iyaremoses on TH-cam for curing me permanently from hypothyroidism with herbal medication..
Getting checked for hypothyroid this week. -i was in ICU for kidney stone- sepsis and they never checked thyroid T3 or tch. I had 2 pregnancies both preeclampsia and several sick....they also never checked thyroid! Both babies born with severe developmental issues sadly. I gained 18lbs in 2 weeks, lost brow hair, have dry skin on face randomly, and sleep alot and so tired. Text book hypothyroidism signs. I'll give an update if I test positive for it. They should really have pregnant women test for this stuff as it CAN harm the baby and mother. I almost died giving birth!
Sorry to hear you are going through all that. Wishing you all the best! Do take care of yourself.
When I had all my 3 kids, my thyroid was checked and luckily it had been. My TSH level is severely high so my dosage of levothyroxine was 120-125mg.
@@FpeEddie2 how high was your tsh?
@@nmc9929 between 3 - 4 mU/L
Very useful thank u
Welcome 😊
thanks alot , will illustrated 🙏🏻
Awesome, glad to hear! Thanks for the comment!
isn't is that in myxedema coma the metabolism is downed in apposite to thyrotoxic crisis in which there is katabolism ??
It was helpful✅
Glad to hear!
My face is swelling but that’s it. I was iodine deficient for almost a year because of low salt diet. Will increase in iodine reverse this?
Traducir en español
My right leg keeps swelling,I was off my levothyroxine for a few months, I'm afraid I might have myxedema...don't know what to do about it. I'm back on my meds. Don't like this at all.
Id advise you see a physician and discuss with them.
I hope you are well 🌼
👏👏👏👏
On the storm, I feel like you forgot really severe diarrhoea or vomiting
My best friend just passed away from the untreated hypethyroidism graves disease that would cause her to sleep with her eyes wide open and severely over heating body temps rapid heart rate noticeably enlarged thyroid age 45
I'm so sorry to hear of the passing of your friend! Take care.
Español
I don’t have a thyroid, I want to die. Can doctors force you to take your medication?
Sphynx Minx 😢 No one can force you to do anything, but please love yourself and take care of yourself.❤️🙏🏻
Jeremiah 29:11 --- Trust our Father in heaven. I'm praying for you.
Go to STTM, Stop The Thyroid Madness website. They have good information. Also lookup Iszbella Wentz, Dr Ken Berry, Suzy Cohen, who have info on the thyroid.
There are other options other than what your endo doctor will give you. Research low dose naltrexone and see if it will help you.
May the LORD
remember you 🙏🏻
Iod is well for Thyroid