Endocrine Flashcards
1
Q
Thyroxine
A
Dr: Thyroid hormone
I:
- Hypothyroidism
- Block regimen replacement in hyperthyroidism
- Suppressive regimen in thyroid cancer and euthyroid goitre
D:
- 50mcg - 200mcg once daily
M:
- Thyroid levels (TSH, T4)
- Storage conditions
- Cardiovascular risk factors (risk of arrhythmias)
- BGL (Require to adjust insulin)
- Signs of hyperthyroidism
- BMD
- Adherence
C:
- Take it oes
- Avoid taking it with dairy, antacid, mineral supplements. Seperate by at least 4 hours.
- Store it in the fridge, single blister strip can be taken out to room temperature for 14 days.
- If you develop any signs of hyperthyroidism such as anxiety, palpitation, insomnia, excitability, weight loss, flushing, sweating tell your doctor.
PP:
- Eltroxin and Eutroxsig are not interchangable.
- Pregnancy is okay, may require higher doses?
- Decrease BMD with thyroid hormones
- May require to change diabetic drug doses
- Increase risk of arrythmias
