Ch 40 Endocrine DisorderS

Question 1

What are adverse effects of hormone therapy such as levothyroxine

Answer 1

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

Question 2

What are contraindications and precautions of hormone therapy such as levothyroxine

Answer 2

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

Question 3

What med interactions of levothyroxine hormone drugs

Answer 3

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.

Question 4

What are important nursing administrations when administering hormone therapy

Answer 4

Monitor T4 and TSH levels

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

Question 5

What are clinical manifestations of hypothyroidism

Answer 5

Depression
Wt gain
Bradycardia
Anorexia
Cold intolerance
Dry skin
Mennorhagia

Question 6

What are thyroid hormones

Answer 6

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)