1
Q
What bloods require for low sodium
A
Urine sodium and osmolality
Serum osmolality
Glucose
Cortisol
Thyroid function
2
Q
Treatment of thyroid storm
A
Beta blockers- propranolol vs Esmolol - decreased sympathetic hyperactivity - partially blocks T4-T3
Propylthiourical PTU- blocks synthesis of thyroid hormone - decreases conversionT4-T3 fast onset. Preferred in pregnant
Methimazole . Blocks synthesis teratogenic
Iodine- inhibit release of stored thyroid hormone - only when synthetic pathway been blocked
Steroids - prevent peripheral conversion
F24
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