Hypo Treatment Flashcards
1
Q
Hypo =
A
Hashimotos
2
Q
Hypo Clinical presentation
A
Dry skin Constipation Depression Weight gain Goiter
3
Q
Treat when
A
TSH is >10
4
Q
Levothyroxine
A
Synthetic T4 initial dose: 25-75 Elderly 12.5-25 7 day half life 60 minutes before a meal Titrate 4-6 wks
5
Q
Levothyroxine Dose adjust and side effects
A
Prego
Hyper
MI
6
Q
Pregnancy
A
Need more thyroid hormone = increase dose
WATCH interaction with prenatal vitamins though
7
Q
L-triiodothyronine (Cytomel, Triostat)
A
Synthetic T3
Initial dose 25
Lower half life
8
Q
LioTrix (Thyrolar)
A
T3/T4
Not a high enough ratio though
9
Q
Myxedema Coma
A
Medical emergency
IV Triostat
Hypothermia, decreased consciousness