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Test 3 – 12/5
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Levothyroxine (Synthroid)

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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Test 3 – 12/5

Concepts Covered:

  • Disorders of the Thyroid & Parathyroid Glands
  • Disorders of Pancreas
  • Medication Administration
  • Liver & Gallbladder Disorders
  • Cardiac Disorders
  • Infectious Respiratory Disorder
  • Urinary Disorders
  • Respiratory Disorders
  • Pregnancy Risks
  • Integumentary Disorders
  • Neurological
  • Female Reproductive Disorders
  • Noninfectious Respiratory Disorder
  • Vascular Disorders

Study Plan Lessons

Nursing Care and Pathophysiology for Hyperthyroidism
Insulin
Insulin – Mixtures (70/30)
Histamine 1 Receptor Blockers
Sympatholytics (Alpha & Beta Blockers)
Calcium Channel Blockers
Anti-Infective – Antitubercular
Parasympatholytics (Anticholinergics) Nursing Considerations
Bronchodilators
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Levothyroxine (Synthroid)
Corticosteroids
Insulin Drips
Albuterol (Ventolin) Nursing Considerations
Amlodipine (Norvasc) Nursing Considerations
Diphenhydramine (Benadryl) Nursing Considerations
Fluticasone (Flonase) Nursing Considerations
Furosemide (Lasix) Nursing Considerations
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Isoniazid (Niazid) Nursing Considerations
Lisinopril (Prinivil) Nursing Considerations
Mannitol (Osmitrol) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Nursing Care Plan (NCP) for Hyperthyroidism
Parasympatholytics (Anticholinergics) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
Propylthiouracil (PTU) Nursing Considerations
Rifampin (Rifadin) Nursing Considerations
Salmeterol (Serevent) Nursing Considerations
Spironolactone (Aldactone) Nursing Considerations