Levothyroxine (Synthroid)
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Outline
Generic Name
Levothyroxine
Trade Name
Levothroid
Indication
Thyroid hormone replacement in hypothyroidism
Action
Replaces thyroid hormone, increasing metabolism, promotes gluconeogenesis,
stimulates protein synthesis, restores normal hormone balance and suppresses
thyroid cancer
Therapeutic Class
Hormone
Pharmacologic Class
Thyroid preparations
Nursing Considerations
• Assess pulse and monitor for tachyarrhythmias and chest pain
• Monitor TSH levels
• Overdose is presented as hyperthyroidism
• Start with low doses and increase as indicated
• Therapy is lifelong
• Take directly after breastfeeding
• Increases the effects of warfarin
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Lesson 5
Concepts Covered:
- Disorders of Pancreas
- Disorders of the Adrenal Gland
- Tissues and Glands
- Disorders of the Thyroid & Parathyroid Glands
- Terminology
- Urinary System
- Endocrine System
Study Plan Lessons
Metabolic & Endocrine Module Intro
Addisons Disease
Glands
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Hypoparathyroidism
Metabolic & Endocrine Terminology
Renin Angiotensin Aldosterone System
Pituitary Gland
Thyroid Gland
Adrenal Gland
Levothyroxine (Synthroid)
Addisons Assessment Nursing Mnemonic (STEROID)
Addisons Disease
Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)
Cortisol Lab Vales
Cushing’s Syndrome Case Study (60 min)
Cushings Assessment Nursing Mnemonic (STRESSED)
Free T4 (Thyroxine) Lab Values
Hyperthyroidism Case Study (75 min)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Hyperthyroidism
Propylthiouracil (PTU) Nursing Considerations
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroxine (T4) Lab Values
Triiodothyronine (T3) Lab Values