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Copyright ©The Author(s) 2016.
World J Obstet Gynecol. Feb 10, 2016; 5(1): 66-72
Published online Feb 10, 2016. doi: 10.5317/wjog.v5.i1.66
Table 4 Six steps for treatment of thyroid storm
1 Admit to intensive care unitIV fluids and watch electrolytes
2 Tylenol 650 mg q6 hFor hyperpyrexia
3 Loading dose of 1000 mg PTU orally then 200 mg orally q6 h; alternate dosing 300 mg PTU q6 hWill block synthesis of T3 and T4
4 Iodine supplementation 10 drops of Lugol’s solution q8 h OR 1 g sodium Iodide IV q8-12 h Iodine allergy use lithium carbonate 300 mg PO q6 hBlocks release of hormone from the thyroid gland
5 Hydrocortisone 50-80 mg q8 h for 3 doses OR Dexamethasone 2 mg IV q6 h for 4 dosesTo block peripheral conversion of T4 to T3
6 Beta blocker Labetolol 300 mg TID may increase to a max dose of 800 mg TID but watch blood pressureTo control the tachycardia – use cautiously in heart failure