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JM Thyroid Meds

Thyroid preparations and Corticosteroids

QuestionAnswer
Levothyroxine (Synthroid): Indications: to increase metabolic rates, Synthetic T4
Synthroid Levothyroxine: Indications: to increase metabolic rates, Synthetic TF
Name three thyroid meds and possible adverse reactions of them. Liothyronine (Cytomel ),Levothyroxine (Synthroid),Desiccated thyroid (Armour Thyroid): abxuety,insomnia,tremors,tachycardia,palpitations,angina,dysrhythmias
What are some nursing implications in conjuction with thyroid meds? ck serum hormone levels, ck BP and pulse regularly,daily wt,avoid iodine foods,report side Name three corticosteroids,what they are used for and trick to remembering them.
Name the action of corticosteroids. Antiinflammatory. Suppresses inflammatory and immune systems-inhibits synthesis of chemical mediators (prostaglandins,leukotrienes,and histamine)decreases inflammation, which then reduces swelling,warmth,redness,
What are some possible adverse reactions of corticosteroids? impaired wound healing,emotional lability,hyperglycemia,Cushing’s syndrome,peptic ulcers,gi bleed,osteoporosis,skin fragility,
What are some nursing implications with corticosteroids? DONOTSTOPSUDDENLY,careful monitoring,monitor K+,glucose (can become diabetic)Na+,daily wt report> than 5 lb/wk,admin w/antiulcer drugs or food,use care to prevent injuries,teachs/sof CushingS,monitorBP&pulse closely,stools/occult blood,dose >during stress
Name more nursing implications with corticosteroids not previously mentioned. Report side effects to dr, CAUTION WITH CARDIOVASCLAR DISEASE
Levothyroxine (Synthroid): Indications: to increase metabolic rates, Synthetic T4
Synthroid Levothyroxine: Indications: to increase metabolic rates, Synthetic TF
Name three thyroid meds and possible adverse reactions of them. Liothyronine (Cytomel ),Levothyroxine (Synthroid),Desiccated thyroid (Armour Thyroid): abxuety,insomnia,tremors,tachycardia,palpitations,angina,dysrhythmias
What are some nursing implications in conjuction with thyroid meds? ck serum hormone levels, ck BP and pulse regularly,daily wt,avoid iodine foods,report side Name three corticosteroids,what they are used for and trick to remembering them.
Name the action of corticosteroids. Antiinflammatory. Suppresses inflammatory and immune systems-inhibits synthesis of chemical mediators (prostaglandins,leukotrienes,and histamine)decreases inflammation, which then reduces swelling,warmth,redness,
What are some possible adverse reactions of corticosteroids? impaired wound healing,emotional lability,hyperglycemia,Cushing’s syndrome,peptic ulcers,gi bleed,osteoporosis,skin fragility,
What are some nursing implications with corticosteroids? DONOTSTOPSUDDENLY,careful monitoring of:K+,glucose(can become diabetic)Na+,daily wt report> than 5 lb/wk,admin w/antiulcer drugsorfood,prevent injuries,teach s/sofCushing S.,monitorBP & pulse closely,ck stools for occult blood,dose needs to >during stress
Side effects to dr, CAUTION WITH CARDIOVASCULAR DISEASE
What meds are used for thyroid storm?Name their actions. Proplythiouracil (PTU), methimazole (Tapazole); act by blocking synthesis of T3 and T4,dose based on body wt,given over several months, take exactly-desired effect=to make the client euthyroid,also given to prepare for thyroidectomy
Name some corticosteroids. Hydrocortisone,Prednisone,Dexamethasone
What are indications for corticosteroid use? Hormone replacement,severe RA, autoimmune disorders
What are possible adverse reactions to corticosteroids? emotional ability,impaired wound healing,skinfragility,abnormal fat deposition,HYPERGLYCEMIA,OSTEOPOROSIS,symptoms of Cushing’s w/overdosage,hirsutism,moon face
What nursing implications with use of corticosteroids? WEAN SLOWLY,monitor K+,glucose (can become diabetic),and sodium,daily wt,report >5lb gain,admin w/antiulcer or food,care to prevent injuries,teach s/s of Cushing’s S,BP and pulse closelymonitor
Created by: 100000255019352
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