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Podcast 149 – Thyroid Storm

EMCrit Podcast

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The Benefits of IV and Propranolol

There have been cases of precipitous cardiac decline from the use of IV propranol. There is talk that your max, at least initially, should be three to five milligrams per hour and see how that goes before you start up regulating. Now there's also an option of esmalol. And esmalol makes me feel safer because I know if I turn off esmalol the effects will be gone or most of the effects gone within ten minutes. The bad thing about Esmalol is it's a selective beta-1 drug so you're not getting any peripheral effects on the imaginary beta 3.

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