Thyroid

Question 1

Side effects of Synthroid levothyroxine

Answer 1

s/s of hyperthyroidism:
HTN 
Tachycardia 
Angina 
Anxiety 
Nervousness 
Insomnia 
GI allergic skin reactions
Heart intolerance

Question 2

Nursing implications of Synthroid Thyroidism

Answer 2

Onset is slow--peak in 1-3 weeks
Start at small dosage and gradually titrate upwards 
Hold the dose if HR is above 100
Replacement therapy is for life 
Single daily dose on an empty stomach 
Drug interactions 
Long term: decrease bone density
Watch with antacids/calcium
Assess cardiac risk factors

Question 3

Synthroid levothyroxine

Use and MOA

Answer 3

Thyroid replacement
(Hypothyroidism)

MOA: T4
-increases basal metabolic rate of body tissues