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February 10, 2012
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Myxedema Coma (cont.)

Medical Author:
Mohammad Alshanti, MD, MBBS
Coauthor:
Mohsen S Eledrisi, MD, FACP, FACE
Medical Editor:
Arthur B Chausmer, MD, PhD, FACP, FACE, FACN, CNS
Medical Editor:
Mary L Windle, PharmD
Medical Editor:
George T Griffing, MD

Medical Treatment

  • Intravenous fluids

  • Electrolytes replacement as necessary

  • Thyroid hormones are usually administered through a vein (intravenously or IV) to quickly correct the low thyroid hormone blood level. (Oral thyroid hormone is usually not used for severe myxedema because it may take days or weeks to obtain the proper blood level.)

  • Cortisol or other adrenal cortical hormone intravenously

  • Warming blanket if body temperature is low

  • Glucose supplements if the blood sugar level is low

  • Antibiotics if an infection is present

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Read What Your Physician is Reading on Medscape

Myxedema Coma or Crisis »

The term myxedema has been applied to several clinical entities and is often used interchangeably with severe hypothyroidism, the common clinical condition in which the thyroid gland produces abnormally low levels of hormones.

Read More on Medscape Reference »

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