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Please include initial procedures, associated illnesses, fluid management, and Levothyroxine administration and dosing. Student doctor please pause the tape and summarize initial treatment measures for myxedema coma. A typical adult loading dose is 300 to 400 µg Levothyroxine IV followed by 50 µg IV daily. What are typical loading and daily doses for the adult myxedema coma patient in micrograms? The loading dose then followed by smaller daily Levothyroxine doses.

Myxedema coma patients have marked depletion of serum Thyroxine and so need the initial Levothyroxine load.

Why is it advisable to start the myxedema patient with an additional loading dose of Levothyroxine?

Because patients with myxedema coma absorb all drugs poorly, it’s crucial to give Levothyroxine intravenously.

Is Levothyroxine in the treatment of myxedema coma administered orally or intravenously and why?

In treating myxedema coma, intravenous fluid should be administered cautiously and excessive free water intake avoided.

What is another caution to observe regarding IV fluids and water intake? In treating myxedema coma associated illnesses like infections and heart failure need to be indentified and treated appropriately.

The myxedema coma patient usually requires intubation and mechanical ventilation.

Myxedema coma is an acute medical emergency and should be treated in intensive care.īlood gases must be monitored regularly and the patient usually requires which two other procedures?.

Is myxedema coma to be treated as a regular hospital admission?