Full 2L QBank
Medicine Diseases of Thyroid 72411e24

Myxedema coma is treated with?

A
Hydrocoisone
B
Liothyronine
C
Levothyroxine
D
All of the above
High-Yield Explanation
Since peripheral conversion of T4 to T3 is compromised in patients who are hypothyroid, combined replacement of T4 and T3 is recommended, for that we give :- - Liothyronine (active T3 derivative) - Levothyroxine T3 has a sho half-life and must be administered q8h. Patients presenting with myxedema coma/crisis may have adrenal insufficiency, and stress doses of IV steroids(hydrocoisone) must be administered along with initial thyroid replacement until adrenal function has been determined to be normal. Active rewarming should be done using space blanket

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