Renovascular disease causing ACE inhibitor-associated AKI — RCPSC IM MCQ
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Correct answer: E — Give IV thyroid hormone and glucocorticoids with ICU support
Myxedema coma requires critical-care support, IV thyroid replacement and empiric glucocorticoid coverage while airway, ventilation and circulation are stabilized. Oral therapy, antithyroid treatment, warming alone or desmopressin do not address the life-threatening syndrome.
Reference: Emergency Care BC, Myxedema Coma clinical summary: https://emergencycarebc.ca/clinical_resource/clinical-summary/myxedema-coma/