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Drug Levothyroxine Sodium

Drug Levothyroxine Sodium

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Published by: Srkocher on Sep 07, 2009
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03/05/2014

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NURS 1556 Clinical Medications Worksheets
(You will need to make additional copies of these forms)Generic Name
Levothyroxinsodium
Trade Name
Synthroid
Classification
Thyroid hormone preparation
Dose
0.025 mg
Route
PO
Time/frequency
Every day
Peak 
1 to 3 weeks
Onset
Unknown
Duration
1 to 3 week 
For IV meds, compatibility with IV drips and /or solutions
 N/A
Mechanism of action and indications(Why med ordered)
Thyroid supplementation in hypothyroidism, treatment or suppression of euthyroid goiters and thyroid cancer.Replacement of or supplementation to endogenous thyroidhormones. Principal effect is increasing metabolic rate of bodytissues. Promote glycogen stores. Aid in development of brain andCNS.Ordered for: thyroid problems
Nursing Implications (what to focus on)
Contraindications/warnings/interactions
Hypersensitivity, recent MI, hyperthyroidism.Use cautiously in: cardiovascular disease.
Common side effects
 Nervousness, headache, insomnia, dysphagia, arrhythmias, agina pectoris, hypotension, tachycardia.
Interactions with other patient drugs, OTC or herbalmedicines (ask patient specifically)
Bile acid sequestrants, increase cardiovascular effects withadrenergics.
Lab value alterations caused by medicine
Monitor thyroid function studies prior to and during therapy, monitor TSH 8 to 12 weeks after starting, monitor blood and urine glucose indiabetic patients.
Be sure to teach the patient the following about thismedication
Take meds how and at same time each day, do not discontinue withoutcontacting a professional, therapy is lifelong, do not change brands,notify professional of weight loss of more than 2 lbs a week, avoid other medications, importance of follow up exams.
Nursing Process- Assessment
(Pre-administration assessment)
Assess apical pulse and blood pressure and periodicallyduring therapy, assess for tachyarrhythmias and chest pain.
Assessment
Why would you
hold or not give
thismed?
AllergiesDecrease in TSH levels
Evaluation
Check 
after
giving
Assess apical pulse and blood pressure.

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