Module 8 unit B thyroid Flashcards

1
Q

treatment for hypothyroidism

A

Levothyroxine (T4)

Levoxyl, Synthroid

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2
Q

Starting dose of levothyroxine for patients over 50 or those with suspected Ischemic heart disease

A

25-50 mcg

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3
Q

Onset of action of levothyroxine

A

3-5 days

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4
Q

when to check TSH after initiating thyroid therapy

A

4-8 weeks, then 4-6 months, then every 12 months

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5
Q

How often to check TSH during pregnancy?

A

every 4 weeks for first half of pregnancy, then at weeks 26 and 32, then 6 weeks postpartum

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6
Q

drug to drug interactions with levothyroxine

A

zoloft or other SSRIs or TCAs, tegretol, dilantin

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7
Q

Overtreatment risk for thyroid

A

Rapid or irregular heartbeat, chest pain, SOB, muscle weakness, weight loss, hair loss, vomiting, fever, impaired fertility.

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