Friday, November 21, 2014

Treatment of thyrotoxic crisis mnemonic

Hi. It's me again.

The mnemonic is, ABCD PQRS.

Antibiotics (To combat infection)
Benzodiazepines (For agitation)
Cooling (External cooling, no salicylates)
Digoxin (For cardiac failure)

Quickly act (filler :P)
Steroids (IV hydrocortisone)

I remember doses of only 3 antithyroid drugs - 

Propylthiouracil 200 mg 4 hourly
IV hydrocortisone 200 mg 6 hourly
Carbimazole 20 mg tid

(T3 and T4 are in excess, so 2 is the magic dose number to lessen the thyroid effects!)


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