Thursday August 9, 2007
Choice of IVF in Thyroid storm

In Thyroid storm, solutions that contain dextrose (some experts recommend even 10% dextrose solution) should be given as IVF. The hepatic glycogen reserve is usually depleted in thyroid storm and dextrose will help replenishing it and to cope with continuously high metabolic demand. Naturally, electrolyte monitoring is recommended with dextrose solution infusion.


Bonus Pearl: Aspirin is contraindicated for control of pyrexia in thyroid storm and tylenol is the prefered agent.


Related pearl: Iodide in Thyroid Storm


Reference:

1. Thyroid Storm: Recognizing the signs and symptoms of this life-threatening complication. AJN, American Journal of Nursing. 102(5):33-35, May 2002.