Typical presentation:

• altered mental status
• myxoedematous changes
• hypothermia
• hypotensive
• bradycardia

Management

Management of myxoedema coma involves the following:

1. ITU/HDU care
2. IV T3/T4
3. 50-100mg IV hydrocortisone
4. Mechanical ventilation and oxygen - if hypoventilation
5. IV fluid - to correct hypovolaemia
6. Correct hypothermia
7. Correct hypoglycaemia
8. Treat any heart failure