MYXEDEMA COMA
Patients with myxedema may go into coma ( due to infection, surgery, non compliance)
- Needs ICU
- Altered mental status, hypothermia,hypotension, hypoventilation, hypoglycemia, cardiac failure,hyponatremia
- In addition to TFTs, check cortisol levels also ( frequently low)
TREATMENT OF MYXED. COMA
- i.v. thyroxine
- i.v fluids (saline)
- Gradual rewarming the body(warming blankets)
- O2
- i.v. steroids & glucose