THYROID STORM-MANAGEMENT

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].