In these Worst Case Scenario videos, I'll run through examples of viva style exam scenarios where I ask all the tricky questions and outline many of the challenging situations you may be asked about in a particular case.
This is for anaesthesia trainees sitting the ANZCA part 2 exam but I feel it could be really valuable for anyone doing their anaesthesia training to gain an insight into some of the more complex aspects of our job.
Some thyroid specific info:
Supportive
Cool patient
Hydration
Oxygen and ventilation
Reduction of synthesis of thyroid:
Dexamethasone 4mg iv q8hr or hydrocortisone 100mg iv q6-8h
Iodine: sodium iodide (1 g IV or Lugol's solution 4-8 drops orally q6-8h) or supersaturated potassium iodide solution (5 drops orally q6h)
IV methimazole (20mg 4-6hrly) carbimazole 20-30 enterally tds
Propylthiouracil (200-400 mg o q6-8hrs)
Reduction of peripheral conversion of T4 to T3
Propylthiouracil
Hydrocortisone
Propranolol 80mg o 6hrly OR 5mg iv. Over 10mins Repeat 3x prn.
Decrease metabolic effects of thyroid
B blockers. Propranolol. Esmolol
(Caution in COPD. Maybe iv diltiazem)
Other
plasma exchange
Please post any comments or questions below.
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good luck!
Disclaimer:
This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such.
The medical information in this course is provided “as is” without any representations or warranties, express or implied.
The presenter makes no representations or warranties in relation to the medical information on this video.
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant
This document was created using a Contractology template available at www.contractology.com.
Informed consent was gained from the patient where relevant
30 июл 2024
