Thyroid Hormones Flashcards
Thyroid Hormones Drugs name
Levothyroxine
Liothyronine
Liotrix
Thyroid Desiccated
Special consideration for Thyroid Dessicated
Comes from pigs, so need to be culturally aware
What are the MOA of thyroid hormones
Increases cellular metabolism
(^ O2/ ^carbs,protein,fat absorption/^heart rate)
What are the indications for Thyroid Hormones
Hypothyroidism, myxedema coma, pituitary TSH suppression, manage thyroid cancer, thyrotoxicosis
For hypothyroidism what is the preferred drug for children
Levothyroxine
T or F children need higher doses for thyroid hormones
True
What is the best drug for adults and older adults for hypothyroidism
Levothyroxine is drug of choice for all age groups
What are the contraindications for thyroid hormones
Allergy, acute MI, thyroticosis
What are the cautions for thyroid hormones
Hypoadrenal conditions
Adverse Effects of Thyroid Hormones
Skin rxn, s/s of hyperthyroidism, cardiac stim, anxiety, insomnia
What are DDIs for thyroid hormones
Oral anticoags, digoxin, theophylline
What assessment would you do for thyroid hormones
-health/fam hx
-skin, CNS effects, VS, EKG
-TSH/thyroid labs
What are nursing diagnosis for thyroid hormones
-altered cardiac output
- malnutrition risk: less than body requirements
- altered tissue perfusion
- knowledge deficit
Implementation for Thyroid Stim Hormones
-single dose 30-60 min before bfast
-admin with full glass of water
- do not admin other drugs at the same time
-monitor carefully in beginning therapy
- blood tests: (TSH/T4/T3)
-pt teaching
Evaluation of Thyroid Hormones
Response to drug/ any adverse effects?
PT understands med therapy
Comfort/safety measures
Compliance?
Hypothyroidism s/s
-intolerance to cold
- receding hairline
-facial and eyelid edema
-dull-blank expression
- thick tongue/ slow speech
- anorexia
- brittle nails/hair
- hair loss
- apathy
- lethargy
- dry skin
- muscle aches
- constipation
- decreased temp
- weight gain
-Bradycardia
- decreased LOC
- thick skin
- cardiac complications
What drugs treat hypothyroidism
Class: thyroid hormones
Drugs: Levothyroxine, liothyronine, liotrix, thyroid desiccated
S/s of hyperthyroidism
Intolerance to heat
Fine , straight hair
Bulging eyes
Facial blush
Enlarged thyroid
Tachycardia
High sys BP
breast enlargement
Weight loss
Muscle wasting
Tremors
Diarrhea
Finger clubbing
Menstrual changes
Edema
