NURS 1566 Clinical Form 3: Clinical Medications Worksheets Generic Name Trade Name Classification Dose Route Time

/frequency Thyroid Thyrar Hormones 60mg PO Q day 0700 Peak Onset Duration Normal dosage range 1-3 wk Days to Days - wks 60mg/day; increase q mo by 30mg; usual maintenance dose weeks is 60-120 mg/day Why is your patient getting this medication For IV meds, compatibility with IV drips and/or Hypothyroidism solutions N/A Mechanism of action and indications (Why med ordered) Replacement/ substitution in diminished or absent thyroid function Increases metabolic rate of body tissues: promote gluconeogenesis, ↑utilization and mobilization of glycogen stores, stimulates protein synthesis, promote cell growth and differentiation, contain T3 and T4 activity Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) None for this pt Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity Common side effects Insomnia, irritability, nervousness, arrhythmias, tachycardia, weight loss

Lab value alterations caused by medicine Monitor thyroid function studies prior and during therapy.

Nursing Process- Assessment (Pre-administration assessment) Apical pulse and blood pressure prior to and throughout therapy. Watch for tachyarrhythmias and chest pain

Be sure to teach the patient the following about this medication Take as directed at the same time each day. Take in morning before breakfast to prevent insomnia. Take missed doses as soon as remembered unless almost time for next dose. Teach pt and family correct technique for checking pulse. Do not give dose if pulse is >100bpm. Have thyroid function tests done at least yearly. Talk to your health care provider if… more than 2-3 doses are missed, you decide to discontinue therapy, you experience headache, nervousness, diarrhea, excessive sweating, heat intolerance, chest pain, ↑ pulse, palpitations, wt. loss >2 lb/wk, you are taking other medications. Assessment Evaluation Why would you hold or not give this Check after giving Watch for s/s of toxicity and med? overdose. S/S of toxicity and overdose; Resolution of symptoms of tachycardia, chest pain, nervousness, hypothyroidism: dieresis, wt. loss, insomnia, diaphoresis, tremors, weight ↑ sense of well-being, ↑energy, loss. pulse rate, appetite, psychomotor
activity. Normalization of skin texture and hair. Correction of constipation, ↑ T3 and T4 levels.

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