Thyroid Medications
If your TSH is elevated you need this type of medication
Normal TSH is 0.5 to 5.0
What is thyroid replacement?
Has insufficient thyroid hormone
What drugs are used to treat hypertension?
thiazides, beta blockers, ACEIs, ARBs, CCBs, Renin inhibitors
Dorothy lives in Arizona. She used to live there only in the winter months, but now lives there year round. Her physician has prescribed her Verapamil. What should Dorothy be advised to avoid?
exercising in the heat, changing position quickly, and dehydration
inhibit the hmg-coa-reductase which plays a central role in the production of cholesterol
What are statins? or hmg-coa-reductase inhibitors
Long term use of steroids can lead to what adverse effects
infections, fractures, high blood sugars, gi bleed
How long does it take to achieve steady state?
4 - 6 weeks
Increases coronary blood flow, ventricular relaxation, cardiac output, and cardiac index
Decreases pulmonary artery pressure, capillary wedge, left ventricular mass
what is an ACEI?
a glycoside used to treat HF, a flutter, and a fib that is not controlled with other medications?
What is digoxin?
You should take a statin with a short half-life at what time of night. Why?
Night because cholesterol synthesis occurs at night mostly
Patient with gout should eat what kind of diet
alkaline
avoid refined sugars, calcium supplements, oxalate rich foods - liver, kidney, fish, sea critters, turkey, cows that are tiny, deer, bacon (sad)
Used to treat thyrotoxicosis, where the feedback loops fail and excessive thyroid hormone is circulating)
Joe, a fruit nut, starts taking calcium channel blockers. What should Joe avoid while taking this medication?
Joe's beloved grapefruit juice.
This class of beta-blockers increases effective refractory period of av node/significant negative inotropic effects *weakens contraction/slows rate"?
What are class II? propranalol, esmalol, acebutolol
Best for patients with low cardiovascular risks
What are bile acid sequestrants?
uric acid, liver, renal function, BUN, Creatinine, creatinine clearance
what is allopurinol?
This is a synthetic hormone that is chemically identical to T4
What is levothyroxine?
These are absolute contraindications in administration for this medication: bilateral renal artery stenosis, pregnancy, angioedema
What are ARBs?
decrease blood coagulation by inhibiting vitamin k epoxide reductase enzyme that recycles oxidized vitamin k
What is coumadin
increases lipolysis of triglycerides by lipoprotein lipase
Fibric Acid derivatives
Who is responsible for regulating the manufacture, possession and distribution of controlled substances?
DEA
Works centrally on the thyroid. has no peripheral effect. inhibits synthesis of thyroid hormone by interfering with iodine and tyrosine
What is methimazole?
Terrence missed his dose of amlodipine today. He realizes it and decides to take the missed dose now. Did Terrence understand his PCPs instructions when he received the medication?
What is 'no'?
oral factor Xa inhibitor
rivaroxaban or apixaban
While a patient is taking statins what should they be advised to monitor for?
Muscle cramps/weakness and dark urine
What schedule of drug does not allow any refills?
Class II