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Flashcards in Ch 40 Endocrine DisorderS Deck (6)
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What are thyroid hormones

Levothyroxine ( Synthroid, levothroid)
Liothyroxine ( Cytomel)
Liotrix ( thyrolar)
Thyroid ( thyroid USP)

These drugs are used in the treatment of hypothyroidism
They are used for emergency treatment of myxedema coma (IV route)


1

What are adverse effects of hormone therapy such as levothyroxine

Over medication can result in indications of. Hyperthyroidism such as; anxiety, tachycardia,palpitations, altered appetite, abdominal cramping, heat intolerance,fever, diaphoresis, wt. loss, menstrual irregularities

2

What are contraindications and precautions of hormone therapy such as levothyroxine

Use cautiously in pregnancy and lactation
Contraindicated in ppl who have thyrotoxicosis
Because of cardiac stimulate effects, use is contraindicated following a MI
NOT FOR USE IN TREATING OBESITY

3

What med interactions of levothyroxine hormone drugs

Binding agents such as ( cholestyramine, antacids, iron and calcium supplements) & sucralfate ( Carafate) may reduce levothyroxine absorption with concurrent use./allow at least 3 hr between med administration.
Anti seizure meds may increase levothyroxine metabolism

Levothyroxine can increase the therapeutic effects of warfarin by breaking down vit k.

4

What are important nursing administrations when administering hormone therapy

Monitor T4 and TSH levels
Monitor and report signs of cardiac excitability such as angina, chest pain, palpitations and dysrhythmias

5

What are clinical manifestations of hypothyroidism

Depression
Wt gain
Bradycardia
Anorexia
Cold intolerance
Dry skin
Mennorhagia