Endocrinology Book

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Thyroid Storm

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  1. Definition
    1. Severe Thyrotoxicosis
  2. Management
    1. Propylthiouracil (PTU)
      1. Load: 1 g load
      2. Maintenance: 300 mg q6h
    2. Dexamethasone 2 mg PO or IV every 6 hours
    3. Potassium iodide (SSKI)
      1. Dose: 4-5 drops every 6 hours for 2 days
      2. Initiate after PTU loading dose
    4. Propranolol 10-20 mg IV or PO every 6 hours

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