Hormone Basics
Thyroid Medications
Serious Thyroid Safety
Calcium and Adrenal Medications
Nursing Judgment and Patient Teaching
100

This gland is often called the “master gland” because it regulates other endocrine glands.

Pituitary gland

100

This medication is the common T4 replacement used for hypothyroidism.

Levothyroxine

100

This symptom should be reported because it may indicate excessive thyroid hormone effect on the heart.

Palpitations or chest pain

100

This medication is a calcitonin product that may be given as a nasal spray or injection.

Calcitonin-salmon

100

This is the best time to teach many patients to take levothyroxine.

In the morning on an empty stomach

200

This thyroid hormone is commonly replaced with levothyroxine.

Thyroxine or T4

200

This medication is a T3 replacement that works faster and is more potent than T4.

Liothyronine

200

This serious adverse reaction to antithyroid drugs causes dangerously low white blood cells.

Agranulocytosis

200

This PTH analog is used for osteoporosis in selected high-risk patients.

Teriparatide

200

This is why glucocorticoids should not be stopped suddenly after long-term use.

Risk for adrenal crisis

300

This thyroid hormone is more active and has a faster effect than T4.

Triiodothyronine or T3

300

These symptoms may indicate too much thyroid hormone replacement.

Tachycardia, palpitations, tremor, insomnia, weight loss, and heat intolerance

300

These two symptoms should be reported immediately by a patient taking methimazole or PTU.

Fever and sore throat

300

This mineralocorticoid medication helps the body retain sodium and water and excrete potassium.

Fludrocortisone

300

These findings may indicate too much mineralocorticoid effect from fludrocortisone.

Edema, hypertension, weight gain, and hypokalemia

400

This hormone raises blood calcium levels.

Parathyroid hormone or PTH

400

These two substances can reduce levothyroxine absorption and should be separated from the dose.

Calcium and iron

400

This antithyroid medication has a higher concern for liver injury.

Propylthiouracil or PTU

400

These medications reduce inflammation, suppress immunity, and support the stress response.

Glucocorticoids

400

These symptoms may indicate adrenal crisis after abrupt steroid withdrawal.

Severe weakness, hypotension, nausea/vomiting, confusion, shock

500

This hormone lowers blood calcium levels.

Calcitonin

500

These medications inhibit thyroid hormone synthesis and are used for hyperthyroidism.

Antithyroid drugs like methimazole and PTU

500

This life-threatening hyperthyroid emergency can cause fever, tachycardia, agitation, and cardiovascular collapse.

Thyroid storm

500

These are two examples of glucocorticoid medications.

Prednisone and Hydrocortisone

500

A patient taking methimazole calls the clinic and reports fever and a sore throat. The nurse recognizes these symptoms may indicate a life-threatening drop in white blood cells.


Agranulocytosis