E05.5
MEDICINE TREATMENT
IV fluids as indicated.
- Carbimazole, oral, 40–60 mg 6 hourly until crisis is controlled.
30 minutes after the first dose of carbimazole:
- Lugol’s iodine, oral, 10 drops in milk, 8 hourly.
AND
- ß–blocker, e.g.:
- Atenolol, oral, 50 mg daily
- Titrate according to symptom control up to 100 mg daily.
If life-threatening:
ADD
- Hydrocortisone, IV, 100 mg 8 hourly.
Actively manage precipitating illness and infection. ICU admission is desirable.
REFFERRAL
All patients once stabilised.