28th May 2025

A 92 year old woman with a history of essential hypertension, osteoarthritis, dyslipidemia and hypothyroidism was brought into A&E resuscitation by ambulance after being found collapsed at home by her daughter.

A 92 year old woman with a history of essential hypertension, osteoarthritis, dyslipidemia and hypothyroidism was brought into A&E resuscitation by ambulance after being found collapsed at home by her daughter. On arrival, her temperature was noted to be 33 degrees Celsius, BP 82/44mmHg, respiratory rate 8, heart rate 40bpm, GCS 9/15. Fingerpick glucose was 4.1. Urgent bloods sent showed low T3 and T4 levels, high TSH levels and hyponatraemia.

What is the most appropriate management step?

Select the SINGLE most appropriate option from the list below. Select ONE option only.