A 68-year-old woman with longstanding hypothyroidism stops taking levothyroxine. She presents with hypothermia (34 °C), bradycardia, hypotension and c...

Question

A 68-year-old woman with longstanding hypothyroidism stops taking levothyroxine. She presents with hypothermia (34 °C), bradycardia, hypotension and confusion. What is the most appropriate immediate treatment?

Accepted Answer

IV levothyroxine and IV hydrocortisone with supportive care in ICU

Answer

Oral levothyroxine alone

Answer

High-dose beta-blocker

Answer

No treatment, observe for spontaneous improvement

Answer

Thyroidectomy

au-racp MCQ (SBA): Myxoedema coma

A 68-year-old woman with longstanding hypothyroidism stops taking levothyroxine. She presents with hypothermia (34 °C), bradycardia, hypotension and confusion. What is the most appropriate immediate treatment?