What is the most likely cause of these signs?
Early this morning, a female client had a subtotal thyroidectomy. During evening rounds, nurse Tina assesses the client, who now has nausea, a temperature of 105 F (40.5 C), tachycardia, and extreme restlessness.
A. Diabetic ketoacidosis B. Thyroid crisis C. Hypoglycemia D. Tetany
A thyroid storm or a thyroid crisis can be a life-threatening condition. It often includes a rapid heartbeat, fever, and even fainting. Other signs of a thyroid crisis include palpitations, increased body temperature, chest pain, anxiety, weakness, disorientation.
Without prompt, aggressive treatment, the thyroid storm is often fatal, and it is crucial to seek medical care as soon as possible. People with hyperthyroidism may develop after experiencing trauma, surgery, or stroke. A thyroid storm or thyroid crisis represents the severe end of the spectrum, and a compromised organ function characterizes it.
Thyroid crisis usually occurs in the first 12 hours after thyroidectomy and causes exaggerated signs of hyperthyroidism, such as high fever, tachycardia, and extreme restlessness. Diabetic ketoacidosis is more likely to produce polyuria, polydipsia, and polyphagia; hypoglycemia, to produce weakness, tremors, profuse perspiration, and hunger. Tetany typically causes uncontrollable muscle spasms, stridor, cyanosis, and possibly asphyxia.