Myxoedema Coma **** Flashcards
1
Q
What is it?
A
Severe acute manifestation of hypothyroidism
2
Q
What triggers it?
A
Illness (infection, stroke, seizure)
Surgery
Medications
3
Q
S+S:
They will have quite a low temperature. What is this called?
3 neurological presentations?
What happens to glucose levels?
A
Hypothermia
Hyporeflexia
Seizures
Coma
Hypoglycaemia
4
Q
Management:
What is given to replace thyroid hormones?
Why are steroids prescribed?
A
T3 IV - liothyronine
Patients presenting with myxedema coma/crisis may have adrenal insufficiency, and stress doses of IV steroids must be administered along with initial thyroid replacement until the adrenal function has been determined to be normal.
