A patient with a history of Graves' disease is hypertensive, hyperpyrexic, and agitated. ECG indicates cardiac arrythmia. Based on the history and client's complaints, which of the following medications would the nurse expect to administer immediately?

Glucocorticoids
Propanolol
Thionamide

Explanation

• Thyroid storm is a rare, life-threatening condition characterized by severe clinical manifestations of thyrotoxicosis, and treated in the same way as uncomplicated hyperthyroidism, except that the drugs are given in higher doses and more frequently

• Propanolol, thionamide, and glucocorticoids should all be administered immediately

• Despite hyperpyrexia, cooling should be done without the use of aspirin which increases free TH

• Ethanol injection is administered to toxic adenomas

• Synthetic thyroxine is used to treat hypothyroidism

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