thyroid drugz

Question 1

What does thyroid gland do?

Answer 1

secretes hormones that regulare basal metabolic rate, thermoregulation

Question 2

Three hormones of thyroid glands

Answer 2

Thyroxine T4
Triiodothyronine T3
Calcitonin

Question 3

What is a goiter and what can cause it?

Answer 3

enlargement of the thyroid gland, caused by hypothyroidism

Question 4

Manifestations of hypothyroidism?

Answer 4

Drowsiness, confusion
bradycardia
anorexia, weight gain, edema
constipation
fatigue, weakness
intolerance to cold
dry, sparse coarse hair
depression

Question 5

Indication of Levothyroxine? routes?

Answer 5

hormone replacement therapy oral, IV

Question 6

adverse effects of levothyroxine?

Answer 6

Thyroid storm causing:
tachycardia, palpitations, chestpain, increased BP, anxiety, tremors, insomnia, weight loss, heat intolerance

Question 7

Long term use of levothyroxine causes?

Answer 7

osteoporosis

Question 8

contraindications of levothyroxine?`

Answer 8

clients with hypertension

Question 9

interactions of levothyroxine?

Answer 9

decreases effectiveness of insulin,
increases excretion of digoxin,
increases effects of warfarin,
food decreases absorption of levothyroxine

Question 10

Implications of levothyroxine

Answer 10

base vitals
monitor tachycardia and irregular pulse

Question 11

client teaching of levothyroxine

Answer 11

report HCP if :
heart palpitations, chestpain, or symptoms of thyroid storm present

do not discontinue, lifelong use.
notify b4 switching brands
take in AM on empty stomach
monitor TSH and T4 levels periodically

Question 12

hyperthyroidism causes and overall increase in…

Answer 12

metabolism

Question 13

manifestations of hyperthyroidism?

Answer 13

nervousness,tachycardia, increased apetite, weight loss, diarrhea
muscle weakness , fatigue, heat intolerance, flushing

Question 14

what is first line of therapy for hyperthyroidism?

Answer 14

methimazole, given orally.

Question 15

adverse effects of antithyroidism?

Answer 15

hypothyroidism, agranulocytosis
liver and bone marrow toxicity

Question 16

contraindications of antithyroid med?

Answer 16

pregnancy and lactation
bone marrow depression
immunosuppression
liver failure

Question 17

Anticoagulants and antithyroid meds cause

Answer 17

increased anticoagulation effect

Question 18

digoxin and antithyroidism cause

Answer 18

increased digoxin level

Question 19

implications of antithyroid meds?

Answer 19

obtain base vitals
monitor thyroid level, WBC and platelet count
monitor for signs of hyperthyroidism and hypothyroidism

Question 20

for antithyroid meds, what do you administer to decrease tachycardia and tremors?

Answer 20

propanolol

Question 21

Client teaching- what should client report when on antithyroid meds?

Answer 21

report symptoms of fever, chills, headache, aalaise, weakness

Question 22

Client teaching-how should client administer when on antithyroid meds?

Answer 22

take with food at consistent times each day
consult HCP before starting OTC or herbal
do not discontinure abruptly
avoid foods high in iodine

Question 23

When is the theraputic effects and full benefits of antithyroidism medications?

Answer 23

1-2 weeks , full in 3-12