Pharmacological management of thyroid storm may include:

Pharmacological management of thyroid storm is aimed at rapidly controlling the overactive thyroid function and mitigating the clinical manifestations of this life-threatening condition. Sodium iodide is one of the appropriate treatment options because it provides a source of iodine, which can help inhibit the release of thyroid hormones and decrease thyroid hormone synthesis when given in high doses. This is particularly effective right after the use of antithyroid medications, as it can reduce the synthesis and release of hormones during a storm.

Additionally, pharmacological management often includes beta-blockers, such as propranolol, to control symptoms like tachycardia and hypertension, and antithyroid medications to inhibit hormone synthesis. However, in this context, sodium iodide plays a specific role in directly addressing the excessive thyroid hormone production.

Other options provided, such as sodium thiosulfate and levothyroxine, are not relevant in the context of treating thyroid storm. Sodium thiosulfate is typically used for different clinical scenarios, such as cyanide toxicity, while levothyroxine would only exacerbate the condition since it is a thyroid hormone replacement. Therefore, sodium iodide is a key component of the pharmacological management plan for thyroid storm.