Methimazole Flashcards
1
Q
Use
A
- hyperthyroidism
- preoperative thyroidectomy
- thyrotoxic crisis
- thyroid storm
2
Q
Precautions/interactions
A
- administer with caution to clients who have bone marrow depression, hepatic disease, or bleeding disorders
- discontinue prior to radioactive iodine uptake testing
- contraindicated with breastfeeding
3
Q
Side/adverse effects (HINT: Hypothyroid sx)
A
- skin rash, pruritus
- abnormal hair loss
- GI upset
- Paresthesias
- periorbital edema
- joint and muscle pain
- jaundice
- agranulocytosis
- thrombocytopenia
4
Q
Nursing interventions/education
A
- administer with food at the same time each day
- increase fluids to 3 L/day
- instruct the client to avoid OTC products containing iodine
- Instruct client to take med as prescribed
- If discontinuing, the dose must be tapered off
- monitor client for therapeutic response: weight gain, decreased pulse, blood pressure, and T4 levels
- Monitor client for sx of overdose and signs of hypothyroidism: periorbital edema, cold intolerance, mental depression
