Myxedema ED Treatment

Question 1

Hydrocortisone dose in myxedema

Answer 1

100-200 mg TIV

Question 2

Thyroid replacement therapy options (2)

Answer 2

1. IV Thyroxine (Levothyroxine)
2. IV Triiodothyronine (Liothyronine)

Question 3

Dose of Levothyroxine

Answer 3

4mg/kg initial dose
then
100mg TIV after 24 hours
then
50mg Thereafter until oral is started

typically 200-400mg as initial dose

Starting dose in elderly is 100 micrograms IV

Question 4

Dose of Triiodothyronine

(Liothyronine)

Answer 4

20 micrograms TIV initial
then
10 micrograms q8 until conscious

Starting dose in elderly and CAD: 10micrograms

Question 5

True or False
Triiodothyronine can be added to Levothyroxine

Answer 5

True