What is included in inpatient care for the treatment of vitamin E toxicity?

Updated: Dec 26, 2017
  • Author: Mark Rosenbloom, MD, MBA; Chief Editor: Michael A Miller, MD  more...
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Answer

Patients with vitamin E toxicity require hospitalization only if bleeding complications, including intracranial hemorrhage, occur.

If an intracranial hemorrhage is suggested or the patient has focal neurologic findings on examination, order a head CT scan without contrast to rule out an existing hemorrhage.

If hemorrhage is present, the patient should receive inpatient medical management, with a neurosurgeon consulted for possible drainage of the fluid collection.

Patients who present with other forms of bleeding should receive vitamin K and should be observed until they are stable, with follow-up evaluation provided on an outpatient basis.


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