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Antithyroid/Thyroid
Thyroid gland secretes T3 and T4, need iodine to make T3 and T4.
| Term | Definition |
|---|---|
| Hypothyroidism | Need to increase t3 and t4 to increase metabolism. |
| Hyperthyroidism | Need to decrease t3 and t4 to decrease metabolism. |
| Hypothyroidism drug | Synthroid- takes time to work, take in AM. |
| Hyperthyroid meds | 1) Antithyroid meds- PTU= lowers t3 fast; Tapazole= stops thyroid from making t3 and t4. 2) iodine compound- decrease size of gland. Liquid given through straw, stains teeth. 3) Radioactive iodine- Destroys thyroid gland. 4) Surgery |
| Adverse reactions of hypothyroidism? | Wt. gain, lethargy, no energy, depression, constipation, and dry skin. |
| Adverse reactions of Hyperthyroidism? | Wt. loss, insomnia, heat intolerance, increase HR, increase BP, tremor, and angina. |
| What can synthroid throw people into? | Hyperthyroidism |
| What are some adverse reactions of PTU? | Skin rash, fever, sore throat, and decrease WBC. |
| Agranulocytosis | Decrease WBC's |
| Nursing Interventions | *Synthroid- in the AM, empty stomach, take for life. Assess BSL and bleeding. *Radioactive- stay away from others, seperate bathrooms, wash clothes seperatly. *Do not stop abruptly |