Myxedema coma
Wikipedia on Answers.com:
Top
Myxedema coma
| Myxedema coma | |
|---|---|
| Classification and external resources | |
| ICD-10 | E03.5 |
Myxedema coma is a state of decompensated hypothyroidism. The patient may have lab values identical to a "normal" hypothyroid state, but a stressful event (infections, MI, CVA, drugs, etc.) precipitates the myxedema coma state. Primary symptoms of myxedema coma are altered mental status and hypothermia. Hypoglycemia, hypotension, hyponatremia, bradycardia, and hypoventilation may also occur.[1] Myxedema, although included in the name, is not necessarily seen in myxedema coma.[2]
Treatment
Mechanical ventilation if there is significant hypoxia.
Intravenous high doses of T4, T4 and T3, or T3. IV Levothyroxine (500-800 mcg).
Determine initial cortisol level, and administer corticosteroids (hydrocortisone at 5-10 mg/hr).
Gradual warming with blankets; an external heating source should not be used.
.[3]
References
- ^ "Myxedema Coma." UpToDate Online 15.2.
- ^ stepup to medicine
- ^ Myxedema coma / crisis http://emedicine.medscape.com/article/123577
External links
 |
This article about a disease, disorder, or medical condition is a stub. You can help Wikipedia by expanding it. |
|
This medical article is a stub. You can help Wikipedia by expanding it. |
This entry is from Wikipedia, the leading user-contributed encyclopedia. It may not have been reviewed by professional editors (see full disclaimer)
Post a question - any question - to the WikiAnswers community:
Copyrights:
Wikipedia on Answers.com
This article is licensed under the Creative Commons Attribution/Share-Alike License. It uses material from the Wikipedia article Myxedema coma.
Read more