Thyroid Hormone Toxicity Follow-up
- Author: Lisandro Irizarry, MD, MPH, FAAEM; Chief Editor: Asim Tarabar, MD more...
Further Inpatient Care
- Inpatient admission is warranted for symptomatic patients. Because symptoms generally revolve around cardiovascular problems, admit to a cardiac monitored bed while appropriate beta-blockade, IV hydration, and control of agitation and hyperthermia are achieved.
Inpatient & Outpatient Medications
- Patients most frequently are treated on an outpatient basis if good follow-up can be guaranteed and psychiatric evaluation is not required. When symptoms develop, beta-blockade may be initiated and titrated to response.
Prognosis
- Significant toxicity with acute ingestions is rare.
- Serious toxicity is more commonly observed with chronic ingestions of large amounts of T4 than with other thyroid hormone ingestions.
Patient Education
- For patient education resources, see the Drug Overdose Center, Poisoning - First Aid and Emergency Center, and Endocrine System Center, as well as Poisoning, Drug Overdose, Activated Charcoal, Poison Proofing Your Home, and Thyroid Problems.
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