HYPOTHYROIDISM

Generic/ Dose Strength & Formulation Indication/ Adverse/Side Effects Nursing Rationale Client Evaluation
Brand Name Mechanism of Drug & Drug Interaction Responsibilities Teaching
& Drug Action
Classification

Generic oral tablets INDICATIONS ADVERSE Administer a single To ensure Take this Here are aspects of
Name: 113.75mg, 120 mg As diagnostic agents in REACTIONS daily dose before consistent medication by care that should be
thyroid 130 mg, 146.25 mg suppression tests to Frequency Not Defined breakfast each day. therapeutic mouth as directed evaluated to
desiccated 15 mg, 16.25 mg 162.5 mg, 180 mg differentiate suspected Tachycardia levels. by your doctor, determine
195 mg, 240 mg mild hyperthyroidism Alopecia Administer with a usually once daily effectiveness of drug
Brand Name: 260 mg, 30 mg or thyroid gland Myalgia full glass of water. To prevent 30 minutes to 1 therapy:
Armour 300 mg, 32.5 mg autonomy Arrhythmias difficulty of hour before
Thyroid, 325 mg, 48.75 mg Nervousness swallowing breakfast. Monitor patient
Nature-Throid, 60 mg, 65 mg CONTRAINDICATIONS Tremor and esophageal response to therapy
NP Thyroid, 81.25 mg, 90 mg  Hypersensitivi Diarrhea atresia. Dosage is based (return of metabolism
Monitor cardiac
Westhroid, 97.5 mg ty to thyroid Cramps response. on your medical to normal, prevention
WP Thyroid, Usual Adult Dose for hormone To detect condition, of goiter).
Thyroid Hypothyroidism:  Untreated INTERACTIONS cardiac adverse laboratory test
Porcine Initial dose: 30 mg orally per day thyrotoxicosis, Hypothyroidism effects. results, and Monitor for adverse
Maintenance dose: Increase in Arrange for
untreated decreases increases response to effects
periodic blood tests
Drug increments of 15 mg per day every adrenal sensitivity to oral To monitor the treatment. (tachycardia, hyperte
2 to 3 weeks to a usual maintenance of thyroid function.
Classification: insufficiency anticoagulants; effectiveness of nsion, anxiety, skin
Thyroid Agent dose of 60 to 120 mg/day prothrombin time should the therapy. Do not stop taking rash).
be closely monitored in Provide comfort
Mechanism of Action: this medication
measures such as
Usual Pediatric Dose for Natural thyroid thyroid-treated patients without first Evaluate patient
Hypothyroidism: on oral anticoagulants temperature control,
hormone from animals; To help patient consulting with understanding on
rest as needed,
0 to 6 months: 4.8 to 6 mg/kg/day increase basal and dosage of the latter cope with drug your doctor. drug therapy by
orally agents adjusted on the safety precautions.
metabolic rate, increase effects. Thyroid asking patient to
6 to 12 months: 3.6 to 4.8 utilization and basis of frequent replacement name the drug, its
mg/kg/day orally mobilization of prothrombin time Provide patient treatment is indication, and
1 to 5 years: 3 to 3.6 mg/kg/day glycogen store, determinations; in education about usually taken for adverse effects to
orally infants, excessive doses drug effects and To enhance
promotes life. watch for.
warning signs to patient
6 to 12 years: 2.4 to 3 mg/kg/day gluconeogenesis of thyroid hormone
orally preparations may report. knowledge and
to promote Do not change Monitor patient
Over 12 years: 1.2 to 1.8 mg/kg/day produce brands without compliance to drug
orally craniosynostosis. compliance.
first consulting therapy.
 your doctor

Generic/ Dose Strength & Indication/ Mechanism of Drug Adverse/Side Effects & Drug Nursing Rationale Client Evaluation
Brand Formulation Action Interaction Responsibilities Teaching
Name &
Drug
Classificat
ion

Generic Dose strength Indication: Adverse effects:

Name: Bottle replacement therapy in primary General: fatigue, increased When To test for the Take Observe the patient's
levothyrox 1ml of 25mcg/ml (thyroidal), secondary (pituitary), and appetite, weight loss, fever, administering effectiveness medication response to the
ine sodium 1ml of 37.5mcg/ml tertiary (hypothalamic) congenital or excessive sweating thyroid of the drug exactly as treatment (return of
Tirosint- 1ml of 50mcg/ml acquired hypothyroidism.  CNS: headache, hyperactivity, replacement therapy. ordered. metabolism to
Sol 1ml of 75mcg/ml nervousness, anxiety, medications, the normal, prevention
Tirosint 1ml of 88mcg/ml adjunct to surgery and radioiodine irritability, emotional lability, nurse should plan of goiter).
Report any
1ml of 100mcg/ml therapy in the management of insomnia to monitor TSH toxicity
Drug 1ml of 137mcg/ml thyrotropin-dependent well- Musculoskeletal: tremors, levels before and Watch for adverse
Review drug symptoms to
Classificat 1ml of 200mcg/ml differentiated thyroid cancer. muscle weakness, muscle spasm during therapy. effects (tachycardia,
labeling your doctor
ion: Cardiovascular: palpitations, hypertension,
information right away
Thyroid Plas Cont Contraindications: tachycardia, increased pulse and anxiety, skin rash).
Drug interactions carefully (e.g., chest
Agent 1ml of 13mcg/ml This medicine is not right for everyone. blood pressure, heart failure,
may occur with before pain,
1ml of 44mcg/ml Do not use it if you had an allergic angina, myocardial infarction, By asking the patient
several other administering. palpitations,
1ml of 62.5mcg/ml reaction to levothyroxine or glycerol, cardiac arrest to name the drug, its
medications. nervousness).
1ml of 112mcg/ml or if you have an uncorrected adrenal Respiratory: dyspnea indication, and any
1ml of 125mcg/ml gland problem or a recent heart attack. GI: diarrhea, vomiting, potential side effects,
abdominal cramps, elevations in Monitor cardiac To detect Avoid OTC
1ml of 150mcg/ml drugs unless you can evaluate
liver function tests response. cardiac
1ml of 175mcg/ml Mechanism of Action: your doctor how well they
Endocrine: decreased bone adverse
A replacement hormone for effects. has approved understand their drug
Formulation mineral density Provide comfort
hypothyroid states like myxedema them. therapy.
 Capsule Reproductive: menstrual measures
coma, goiters, and To help
irregularities, impaired fertility (temperature
 Liquid thyroid cancer increases the metabolic patient cope Assessing patient
Interactions: control, rest as Do not
 Tablet rate of body tissues, increasing oxygen with drug compliance with
Cholestyramine. Decreased needed, safety discontinue
consumption, respiration, heart rate, effects. medication.
absorption of thyroid hormones precautions). taking this
growth and maturation, and the
(take two hours apart) medication
metabolism of fats, carbohydrates, and
Anticoagulants. Increased blee Educate patients without first
proteins.
ding on side effects of To actually talking to your
Digitalis glycosides. Decreased medications and improve doctor.
effectiveness of digitalis compliance
glycosides. and improve
how to report patient
them. knowledge.