Medicine an Surgery notes

Apr 24th, 2015
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PREPARATION FOR THEATRE OF PATIENT WITH TOXIC GOITREPreparation is directed to ensure safe induction of anaesthesia and a trouble free intra- and postoperative course.Thyrotoxic patients need to be rendered euthyroid and the peripheral effects of high circulating levels of thyroxine blocked.Anti-thyroid drugs used are carbimazole and incase of adverse drug reaction then propylthiouracil (expensive) used. Usually administered for between 3-6months.Carbimazole dose of 20 mg TDS( max dose 60 mg/day )Howevere if not well controlled can increase dose to 30 mg TDS plus steroid.Propylthioura

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