Review Note
Last Update: 10/08/2024 02:41 PM
Current Deck: PACES::Conditions
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Commit #168513
Management of Thyroid Storm
{{c1::ICU management
IV fluids
Antipyretics, cooling measures
Treat underlying precipitant
B-blocker: Propranolol
Anti-thyroid meds (Thianomide): PTU* > CMZ
Lugol's iodine (≥1h after Thianomide)
Steroids: IV Hydrocortisone
Definitive management
Lifelong thianomides (switch to CMZ) or RAI or surgery}}
{{c1::ICU management
IV fluids
Antipyretics, cooling measures
Treat underlying precipitant
B-blocker: Propranolol
Anti-thyroid meds (Thianomide): PTU* > CMZ
Lugol's iodine (≥1h after Thianomide)
Steroids: IV Hydrocortisone
Definitive management
Lifelong thianomides (switch to CMZ) or RAI or surgery}}
Extra
Commit #168513
*PTU also inhibits peripheral conversion of T4 > T3
Wolff-Chaikoff effect
Autoregulatory phenomenon
Excess iodine inhibits thyroid iodide organification, synthesis and release of thyroid hormone
Wolff-Chaikoff effect
Autoregulatory phenomenon
Excess iodine inhibits thyroid iodide organification, synthesis and release of thyroid hormone