Hypo Treatment Flashcards

1
Q

Hypo =

A

Hashimotos

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2
Q

Hypo Clinical presentation

A
Dry skin
Constipation
Depression
Weight gain
Goiter
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3
Q

Treat when

A

TSH is >10

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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
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5
Q

Levothyroxine Dose adjust and side effects

A

Prego

Hyper
MI

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6
Q

Pregnancy

A

Need more thyroid hormone = increase dose

WATCH interaction with prenatal vitamins though

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7
Q

L-triiodothyronine (Cytomel, Triostat)

A

Synthetic T3
Initial dose 25
Lower half life

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8
Q

LioTrix (Thyrolar)

A

T3/T4

Not a high enough ratio though

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9
Q

Myxedema Coma

A

Medical emergency
IV Triostat
Hypothermia, decreased consciousness

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