Difference between revisions of "THYROID STORM-MANAGEMENT"
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===== [[Summary Article|'''SUMMARY''']] ===== | ===== [[Summary Article|'''SUMMARY''']] ===== | ||
1. Manage in ICU. 2. Septic workup + emperic antibiotics if infection is suspected. | 1. Manage in ICU. | ||
<br/>2. Septic workup + emperic antibiotics if infection is suspected. | |||
<br/> | |||
<br/>3. Block adrenergic effects: IV propanolol/esmolol. | <br/>3. Block adrenergic effects: IV propanolol/esmolol. | ||
<br/>4. Block thyroid hormone synthesis: high dose MMI/PTU. | <br/>4. Block thyroid hormone synthesis: high dose MMI/PTU. | ||
<br/>5. Block release of thyroid hormone | <br/>5. Block release of thyroid hormone: stable iodide. | ||
<br/>6. Block T4 to T3 conversion | <br/>6. Block T4 to T3 conversion: iodinated contrast agent, propanolol, PTU. | ||
Latest revision as of 02:29, 21 March 2023
SUMMARY
1. Manage in ICU.
2. Septic workup + emperic antibiotics if infection is suspected.
3. Block adrenergic effects: IV propanolol/esmolol.
4. Block thyroid hormone synthesis: high dose MMI/PTU.
5. Block release of thyroid hormone: stable iodide.
6. Block T4 to T3 conversion: iodinated contrast agent, propanolol, PTU.
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
