Thyroid Emergency Action Plan

Important Contact Information

• Endocrinologist: [Name] _____________________
  • Phone: ______________________
• Primary Care Physician: [Name] _____________________
  • Phone: ______________________
• Emergency Contact: [Name] _____________________
  • Phone: ______________________

Medical Information

Thyroid Condition: _____________________ Current Medications: _____________________

Emergency Warning Signs

Seek Immediate Medical Attention for:

Hypothyroid Crisis (Myxedema Coma)

• Severe drowsiness or unconsciousness
• Extremely low body temperature
• Slow heart rate
• Severe breathing difficulties
• Confusion or mental status changes

Thyroid Storm (Severe Hyperthyroidism)

• High fever (>101°F/38.3°C)
• Rapid heart rate >130 beats/minute
• High blood pressure
• Severe anxiety or agitation
• Tremors
• Confusion or delirium

Emergency Instructions

1. For Severe Symptoms

   • Call 911 or go to nearest emergency room
   • Bring this plan and current medications
   • Inform medical staff of thyroid condition

2. For Moderate Symptoms

   • Contact endocrinologist immediately
   • Follow specific instructions below:

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Medication Adjustments

• Document any emergency medication changes here:

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Additional Notes

Update this plan every 6 months or when medical condition changes