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thyroid
| Question | Answer |
|---|---|
| which lab is done to screen for hypo or hyper-thyroidism? | TSH but may also check T4 and T3 |
| what are some signs and symptoms of hypothyroidism? | thickened skin, lethargy, constipation, anorexia, hair loss, cold, dry brittle hair, depression |
| what are some signs and symptoms of hyperthyroidism? | weight loss, increased appetite, muscle weakness, palpitations, irritability, nervousness, sleep disorders, flushing, heat intolerence, tremors, exophthalmos, tachycardia |
| what is the primary drug for hypothyroidism? | levothyroxine sodium (synthroid) |
| what are the primary drugs for hyperthyroidism? | propylthiouracil (PTU) and iodides (for mild) |
| what should the patient do before administering synthroid? | check pulse (<100) |
| if the TSH is high, what does this mean? Remember negative feedback mechanism | caused by low levels of circulating thyroid hormone |
| when should patients take synthroid? | before breakfast |
| which side effect should you watch for with PTU (hyperthyroidism)? | agranulocytosis (sore throat, fever, headache) |
| what is cretinism? | congenital hypothyroidism? (children and babies) |
| what is the most common type of hypothyroidism? | primary |
| in hypothyroidism, will the TSH be high or low? | high (negative feedback mechanism) |
| in hypothyroidism, will the T4 be increased or decreased? | decreased |
| what hormone stimulates the thyroid gland to function? | TSH |
| what hormones are produced by the thyroid gland? | T3 and T4 |
| what is primary hypothyroidism? | when the thyroid gland is not able to perform one of its functions |
| what happens in secondary hypothyroidism? | no TSH is secreted from the pituitary gland |
| what happens in tertiary hypothyroidism? | no TRH is released from the hypothalamus |
| what is myxedema? | severe hypothyroidism in adults |
| what are some foods that may inhibit thyroid secretion? | strawberries, peaches, pears, cabbage, turnips, spinach, kale, brussels sprouts, califlower, radishes, peas |
| synthroid will INCREASE the effects of coumadin | (blank) |
| Synthroid will DECREASE the effect of insulin and oral antibiotics | (blank) |
| Digoxin and lithium will ENCREASE the action of synthroid | (blank) |
Created by:
lyndsey_168
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