According to Synthroid Dosing and Monitoring 2018 Heroin and Methadone may

According to synthroid dosing and monitoring 2018

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According to Synthroid Dosing and Monitoring (2018), Heroin and Methadone may increase serum thyroxine-binding globulin concentration. With HL having a history of drug abuse, the patient should be asked about any recent drug abuse. In order to prescribe appropriate treatment for HL, the practitioner should evaluate for an underlying cause and provide treatment. For example, if the symptoms were drug-induced, such as Synthroid dose is too high, reducing the dose should resolve the symptoms. First-line therapy for nausea and vomiting are phenothiazines, like promethazine or prochlorperazine. If not effective, an antihistamine or anticholinergic like Dramamine or Benadryl. If these therapies are not successful, the patient should be re-evaluated for physiological cause not yet treated. First- line therapy for treating diarrhea would be loperamide, which is an antimotility agent. It would
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not be ordered if infectious diarrhea or bloody diarrhea was present. If HL was not able to tolerate this, kaopectate could be used unless there is a sensitivity to salicylates. HL should be evaluated for Hepatitis C. If positive, treatment should be started using DAA agents. Nifedipine dose may need to be adjusted or an alternative medication used if liver function is found to be affected. TSH should be drawn to see if Synthroid dose needs adjusted. Patient should be advised to take prednisone with food to reduce GI side effects. First-line therapies for nausea/vomiting and diarrhea should be initiated if not contraindicated. HL should also be asked about any recent substance abuse and encouraged to start a drug rehabilitation program if actively abusing drugs. References Adalat. (2010). Bayer Healthcare Pharmaceuticals Inc. Retrieved from American Liver Foundation. (2017). Diagnosing Hepatitis C. Retrieved from - c/diagnosing-hepatitis-c/#signs-symptoms Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins. Horsley-Silva, J. L., & Vargas, H. E. (2017). New Therapies for Hepatitis C Virus Infection. Gastroenterology & hepatology , 13 (1), 22-31. Retrieved from Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby. Levothyroxine. (2017). Retrieved from Mayo Clinic. (n.d.) Hepatitis C. Retrieved from - conditions/hepatitis-c/symptoms-causes/syc-20354278
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Synthroid Dosing and Monitoring. (2018). Retrieved from Hi Misty
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I agree that it would be difficult to make a diagnosis based on the limited information on the patient. Gastroenteritis is a common intestinal infection in which patients present with
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  • Gastroenterology, Week 7 Discussion, Prednisone, Hepatology, Hepatitis C

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