Your patient is a 72-year-old male who is conscious but lethargic and sitting in a chair. His son states that the patient has been a bit slow lately and has been gaining weight. The medical history includes hypothyroidism and myocardial infarction. The patient has been compliant with his Synthroid and has nitroglycerin for use as needed. The patient responds to verbal stimuli, is confused, has a large tongue, and pale, cold, doughy skin. His only complaint is constipation. HR = 60 and regular, BP = 112/80, RR = 10 and shallow, SaO₂ = 92%, temperature = 88°F,blood glucose = 180 mg/dL. Your treatment of this patient should include:

Question

Quizplus · Accepted Answer

The patient's presentation suggests myxedema coma, a severe form of hypothyroidism. Oxygen should be administered to ensure adequate oxygenation. Atropine is not indicated as the patient's heart rate is already within the normal range. Warm saline infusion and rewarming with heat packs may further depress the patient's level of consciousness and should be avoided.

Your Patient Is a 72-Year-Old Male Who Is Conscious but Lethargic