hypothyroidism
hyperthyroidism
hypothyroidism pharmacotherapy
hyperthyroidism pharmacotherapy
nursing responsibilities
100
What is "go low and go slow"?
the precaution for using thyroid replacement therapy in older adults
100
What are 2 treatments for hyperthyroidism?
surgery and drugs that reduce production of thyroid hormone
100
Which drugs are used to treat hypothyroidism?
- levothyroxine (Synthroid) - liothyronine (Cytomel) - liotrix (Thyrolar) - dessicated thyroid (Thryroid USP)
100
Name the 4 drugs used to treat hyperthyroidism
Methamazole Lugol’s solution radioactive iodine PTU
100
A nurse is caring for a client who is taking propylthiouracil (PTU). For which of the following adverse effects of this medication should the nurse monitor? a) insomnia b) weight loss c) heat intolerance d) bradycardia
d) bradycardia
200
Name 5 signs and symptoms of hypothyroidism.
fatigue constipation slowed HR weight gain dry skin
200
Name 5 signs and symptoms of hyperthyroidism
rapid heartbeat sweating tremor anxiety muscle weakness
200
Why does Levothyroxine contain a Black Box Warning?
treatment of obesity or weight loss is contraindicated
200
Why does Propylthiouracil (PTU) contain a Black Box warning?
hepatic toxicity
200
Avoid administering these drugs when a patient is on propylthyiouracil (PTU)
anticoagulants and iodine-containing agents
300
Why is thyroid replacement therapy more sensitive in the older adult population?
due to the risk for inducing acute coronary syndromes
300
What is the only thyroid level that is decreased in hyperthyroidism?
TSH
300
What are some adverse effects of levothyroxine (Synthroid)?
headache sweating weight loss V/D tachycardia angina
300
Which of the following signs of infection should be reported to a healthcare provider when taking antithyroid (hyperthyroid) drugs? a) tachycardia b) headache c) fever, rash, and fatigue d) muscle weakness and dry skin
c) fever, rash, and fatigue
300
A client asks a nurse why she is taking propranolol (Inderal) along with her therapy for hyperthyroidism. Which of the following replies by the nurse is appropriate? A. “Propranolol helps increase blood flow to your thyroid gland.” B. “Propranolol is used to prevent excess glucose in your blood.” C. “Propranolol will decrease your tremors and fast heart beat.” D. “Propranolol promotes conversion of T4 to T3 in your body.”
C. “Propranolol will decrease your tremors and fast heart beat.”
400
Which thyroid levels are decreased in hypothyroidism? Which are increased?
decreased: T3 and T4 increased: TSH
400
What are the 2 known causes of hyperthyroidism?
Grave's isease Thyrotoxicosis
400
Levothyroxine (Synthroid) increases the effects of ________?
coumadin
400
When should hyperthyroid drugs be taken? When should hypothyroid drugs be taken?
(hyperthyroid) same time each day (hypothyroid) same time each morning
400
A nurse is caring for an older adult client in a long-term care facility who has hypothyroidism and is beginning levothyroxine (Synthroid). Which of the following dosage schedules should the nurse expect for this client? A. The client will start at a high dose, and the dose will be tapered down as needed. B. The client will remain on the initial dosage during the course of treatment. C. The clients dosage will be adjusted daily based on blood levels. D. The client will start on a low dose, which will be gradually increased
D. The client will start on a low dose, which will be gradually increased
500
What are the 3 known causes of hypothyroidism?
Cretinism Hashimoto's disease Myxedematous coma
500
Name 5 risk factors for developing hyperthyroidism
- having another autoimmune disease (e.g., type 1 diabetes, pernicious anemia) - a family history - eating large amounts of iodine - being a woman - previous goiter
500
Select all that apply. Which of the following assessment findings would the nurse expect to observe in an adult client experiencing therapeutic effects from levothyroxine (Synthroid)? decreased reports of fatigue -- constipation and weight gain -- pulse rate between 60-100 beats/min -- decreased -- blinking and exophthalmos -- decreased blood cholesterol levels
decreased blood cholesterol levels pulse rate between 60-100 beats/min decreased reports of fatigue
500
Iodism due to metallic taste, stomatitis, sore teeth and gums, headache, and skin rash are adverse effects of which antithyroid (hyperthyroid) medications?
nonradioactive iodine (Lugol's solution)
500
True or false: Evidence of propylthiouracil/PTU's effectiveness include -weight loss -vital signs within expected reference range -increased T4 levels -absence of signs of hyperthyroidism
weight loss and increased T4 levels indicate that PTU is ineffective
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