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BAB IV

PENUTUP

Krisis tiroid merupakan salah satu kegawatdaruratan endokrin yang merupakan


eksaserbasi lanjut dari keadaan tirotoksikosis. Penegakkan diagnosis krisis tiroid berdasarkan
gambaran klinis. Untuk memudahkan penegakkan krisis tirod Butcher & Watorfski menyusun
sebuah skoring. Skoring tersebut merupakan penilaian terhadap termoregulasi, kardiovaskuler,
gastrointestinal, dan sistem syaraf.
Penanganan dari krisis tiroid sendiri memerlukan penaganan yang cepat, karena meskipun
krisis tiroid jarang terjadi, namun morbiditas krisis tiroid cukup tinggi yaitu 20-30% jika tidak
mendapat penanganan secara cepat. Adapun tujuan utama dari penanganan krisis tiroid yaitu
Memblok sintesis dan pengeluaran hormone tiroid, memblok dan menghambat konversi dari T4
menjadi T3, serta menurunkan sensiitivitas seluler peripheral terhadap katekolamin. Peran
perawat sangat dibutuhkan khususnya dalam pemberian dan pengawasan efek samping obat,
penanganan supprtif seperti penurunan suhu tubuh pasien, dan koreksi cairan dan elektrolit
pasien.

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