Ch 40 Endocrine DisorderS Flashcards

0
Q

What are adverse effects of hormone therapy such as levothyroxine

A

Over medication can result in indications of. Hyperthyroidism such as; anxiety, tachycardia,palpitations, altered appetite, abdominal cramping, heat intolerance,fever, diaphoresis, wt. loss, menstrual irregularities

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1
Q

What are thyroid hormones

A

Levothyroxine ( Synthroid, levothroid)
Liothyroxine ( Cytomel)
Liotrix ( thyrolar)
Thyroid ( thyroid USP)

These drugs are used in the treatment of hypothyroidism
They are used for emergency treatment of myxedema coma (IV route)

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2
Q

What are contraindications and precautions of hormone therapy such as levothyroxine

A

Use cautiously in pregnancy and lactation
Contraindicated in ppl who have thyrotoxicosis
Because of cardiac stimulate effects, use is contraindicated following a MI
NOT FOR USE IN TREATING OBESITY

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3
Q

What med interactions of levothyroxine hormone drugs

A

Binding agents such as ( cholestyramine, antacids, iron and calcium supplements) & sucralfate ( Carafate) may reduce levothyroxine absorption with concurrent use./allow at least 3 hr between med administration.
Anti seizure meds may increase levothyroxine metabolism

Levothyroxine can increase the therapeutic effects of warfarin by breaking down vit k.

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4
Q

What are important nursing administrations when administering hormone therapy

A

Monitor T4 and TSH levels

Monitor and report signs of cardiac excitability such as angina, chest pain, palpitations and dysrhythmias

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5
Q

What are clinical manifestations of hypothyroidism

A
Depression
Wt gain
Bradycardia
Anorexia
Cold intolerance
Dry skin
Mennorhagia
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