How to Manage Existing Hypothyroidism Perioperatively in a Patient NPO ?


I was called to evaluate a 82 year old female with cholecystitis who had hypothyroidism and has been taking levothyroxine 125 mcg/day. Her last TFT was fT4- 1.3; TSH - 6.1 three days ago. Patient is NPO. Suction tube is in place. It is on constant suction. There is a plan for surgery in 5-7 days. Should be levothyroxine be given IV or withheld for a short period of time. Thank you for your service. I always read all your Q&A section. It is very useful. Feel free to publish my question if you find it interesting enough for physicians. Sincerely yours, Dmitri Kirpichnikov

Dmitri Kirpichnikov, MD, 9711 Third Ave, Brooklyn, NY 11209


No problem to withhold it for a few days. Regards, Georg Hennemann, MD,