Active Learning Template Medication - Levothyroxine - ACTIVE LEARNING TEMPLATE Medication STUDENT NAME Levothyroxine MEDICATION REVIEW MODULE

Active Learning Template Medication - Levothyroxine -...

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Unformatted text preview: ACTIVE LEARNING TEMPLATE: Medication STUDENT NAME______________________________________ Levothyroxine MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER____________ - thyroid preparations CATEGORY CLASS__Hormone _____________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Replacement of or supplementation to endogenous thyroid hormones. Replacement in hypothyroidism to restore normal hormonal balance. Therapeutic Use Thyroid supplementation in hypothyroidism. Treatment or suppression of euthyroid goiters. Adjunctive treatment for thyrotropin-dependent thyroid cancer. Complications Usually only seen when excessive doses: angina pectoris, arrhythmias, tachycardia, insomnia, irritability, HAs, heat intolerance, weight loss, menstrual irregularities, accelerated bone maturation in children. Medication Administration Initial dose is low. Dose is increased gradually, based on thyroid function tests. Administer as a single dose with a full glass of water, preferably before breakfast. Tablets can be crushed and placed in 5– 10 mL of water and administered immediately via dropper or spoon. Contraindications/Precautions Recent MI. Hyperthyroidism. Use Cautiously in: Cardiovascular disease. Severe renal insufficiency. Uncorrected adrenocortical disorders. Monitor infants for cardiac overload. Interactions Bile acid sequestrants decrease absorption. May increase effects of warfarin. May increase requirement forinsulin or oral hypoglycemic agents in diabetics. Foods or supplements containing calcium, iron, magnesium, or zinc may bind levothyroxine and prevent complete absorption. Evaluation of Medication Effectiveness Resolution of symptoms of hypothyroidism and normalization of hormone levels. ACTIVE LEARNING TEMPLATES Nursing Interventions Assess apical pulse and BP prior to and periodically during therapy. Assess for tachyarrhythmias and chest pain. Monitor thyroid function studies. Monitor blood and urine glucose in diabetic patients. Client Education Explain to patient that medication does not cure hypothyroidism. Therapy is lifelong. Advise patient to notify provider if headache, heat intolerance, weight loss > 2 lbs/week, chest pain, increased pulse rate, or any unusual symptoms occur. Therapeutic Procedure  A7 ...
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