Thyroid in Pregnancy Flashcards
(7 cards)
1
Q
Thyroid Testing Indications in Pregnancy
A
- personal hx
- family hx
- DMI
- Clinical susp. (i.e. SIGNIFICANT goiter)
2
Q
First-line thyroid test in preg
A
TSH
3
Q
What is surveilled in pregnant pts treated for hypothyroid?
Timing / Interval
Goal
A
TSH
q 4-6wks while changing rx
TSH < 2.5mu/L
4
Q
What is surveilled in pregnant pts treated for hyperthyroid
Timing / Interval
Goal
A
Free T4
?
upper end of normal pregnancy range (cahnges with GA)
5
Q
Tx for overt hyperthyroidism
A
Thioamides:
-PTU
-methimazole
6
Q
methimazole potential teratogenic effect
timing of use
A
aplasia cutis
2nd trimester
7
Q
Levothyroxine increase ___% when pregnancy confirmed
further mgmt
A
25%
TSH q4-6wks for medication adjustment
