All the patients with myxedema<unk>  should be admitted to ICU and treatment must be started as quickly as possible. Given the clinical suspicion of myxedema<unk> , initiate replacement therapy without waiting for laboratory results. The empirical use of glucocorticoids should be part of the initial therapeutic protocol as severe hypothyroidism induces a lower adrenal response to stress. Administration of glucocorticoids is independent of whether or not there is simultaneous adrenal insufficiency. Since thyroid hormone speeds up metabolism of cortisol and its plasma levels may be decreased in the presence of adrenal insufficiency, the glucocorticoids should always be given prior to thyroid replacement because otherwise they could precipitate an adrenal crisis. Hydrocortisone must be given in doses of, 50- 100 mg intravenously (IV) every 6-8 h for 7 to 10 days or until hemodynamically stabilizes the patient. Identify and properly treat the precipitating factor.
Myxedema coma medical therapy
Diabetic coma medical therapy
Delirium medical therapy
Myxedema coma primary prevention
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Heat stroke medical therapy
Tremor medical therapy
Headache medical therapy