High TSH Levels: Lab Interpretation for New Grad NPs

high TSH levels: lab interpretation for new nurse practitioners

Finding a high TSH on a screening test or when you’ve ordered it for a fatigue workup is SO common.

But when do you actually need to treat it? And how?

Using a case study, you’ll learn:

  • When to worry about a high TSH
  • The first steps you need to take first to manage it
  • How to follow up and assess your treatment
  • And other pearls of practice when it comes to a TSH

Once you’ve watched, I’d love to hear from you.

What’s one thing you learned from this video about high TSH levels that you can take into your practice as a new grad NP (or soon to be!)?

Leave me a comment below. Be sure to share your thought directly in the comments, no links or videos as they may be removed.

Thanks so much for watching. Hang in there, and I’ll see you soon.


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10 thoughts on “High TSH Levels: Lab Interpretation for New Grad NPs”

  1. Deborah K Sadler

    Thank you so much for the case study video on hypothyroidism. I really helps me learn and be able to apply the information when it is done in a case study format. The information was extremely helpful and I can use it in my clinical practice.

  2. excellent video. Good information. I liked the “real world” suggestions you provided. You did talk pretty fast 🙂 and for some reason the volume was lower and i had my laptop volume up all the way.
    Question: Is there even any use in drawing any labs other than TSH and T4 to check thyroid?

    1. I do talk fast!! I want to keep the videos short and digestible since I know NPs are so busy. I’ve also been struggling with audio — working on getting a better audio/visual set up. Thank you for the feedback!

      So for hypothyroid, the recommendations are generally for TSH and free T4. T3 is converted from T4 in the tissues, so isn’t really relevant to the thyroid itself, if that makes sense? If someone was still symptomatic, I’d test the T3– there’s some controversy whether synthetic T4 can truly mimic normal physiology, but it converts to T3 in the tissues and most people have normal T3 as well.

      For hyperthyroid, I do check T3. If the clinical picture makes sense, you can stick with those– it’s up to your preference.

      (Here’s the full AACE guidelines if you want to check them out! The table of contents make it easier to navigate https://journals.aace.com/doi/pdf/10.4158/EP12280.GL )

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