Thyroid Hormone Toxicity Follow-up

Updated: Oct 12, 2016
  • Author: Lisandro Irizarry, MD, MPH, FACEP; Chief Editor: Asim Tarabar, MD  more...
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Follow-up

Further Inpatient Care

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  • 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.
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Inpatient & Outpatient Medications

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  • 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.
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Prognosis

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  • 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.
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Patient Education

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