Thyroid

Question 1

Why do we give levothyroxine?

Answer 1

Treat hypothyroidism

Question 2

What are the Se’s of levothyroxine?

Answer 2

Angina, tachycardia, MI, weight loss, dysrhythmias

Question 3

What are contraindications of levothyroxine?

Answer 3

Euthyroidism, MI, thyrotoxicosis

Question 4

What do we tell our pts to avoid while taking levothyroxine?

Answer 4

Caffeine (stimulant), narcotics (CNS depressant), OTC

Question 5

When do we tell our pts to take levothyroxine?

Answer 5

30-60 min before breakfast

Question 6

How long do our pts take levothyroxine for?

Answer 6

Life long, does not cure but treats
DO NOT STOP ABRUPTLY

Question 7

How do we dose elderly for levothyroxine

Answer 7

Start low and go slow
25 mcg

Question 8

Why do we give proplythiouracil?

Answer 8

Treat hyperthyroidism

Question 9

What is the action of proplythiooracil?

Answer 9

Inhibits production of thyroid and conversion of T4 to T3

Question 10

What are the side effects of propylthriouracil?

Answer 10

Bradycardia, dizzy, HA, N/V, leukopenia neutropenia, heart failure, edema

Question 11

Who is proplythiouracil not safe for?

Answer 11

Children, liver toxic

Question 12

When treating older adults for hyperthyroidism, what do we prefer to give?

Answer 12

Radioactive iodine, it kills /destroys thyroid tissue

Question 13

What are we monitoring when administering PTU?

Answer 13

CBC, AST/ALT, bp/hr, weight