UNIVERSITY OF CEBU – BANILAD

COLLEGE OF NURSING

DRUG STUDY

Patient: Age: Hospital No. Room No.

Impression/Diagnosis: Attending Physician(s):
Allergy to:

Indication / Pharmacodynamics of Nursing Responsibilities (Nursing

Generic / Brand Name & Dosage, Timing & Duration Side Effects / Adverse Reaction / Process Approach) Patient Teaching
Drug
Classification (5%) (5%) Contraindication (10%) (40%) (20%)
(20%)

Generic Name: Drug form & Dosage Indications:
Ordered: Hypothyroidism; treatment or
1 tablet once a day as
levothyroxine sodium prevention of euthyroid goiter.
maintenance 30 mibs before
breakfast; 25 mcg
Synthetic form of thyroxine that
replaces endogenous thyroxine,
increasing thyroid hormone
Brand Name: levels. Thyroid hormones help
Timing: regulate cell growth and
Once a day
differentiation and increase
metabolism of lipids, protein,
and carbohydrates
Duration:
Pharmacodynamics:
Classification Name: Levothyroxine has a
Thyroid hormone
Other drugs forms: narrow therapeutic
replacement
Powder for injection index and is titrated to
maintain a euthyroid
state with TSH (thyroid
stimulating hormone)
within a therapeutic
range of 0.4–4.0 mIU/L.10
CNS: insomnia, irritability, Check vital signs and ECG explain that patient
nervousness, headache CV: routinely. may require lifelong
tachycardia, angina pectoris, therapy and must
hypotension, hypertension, increased ● Monitor thyroid and liver undergo regular
cardiac output, arrhythmias, function tests. blood testing.
cardiovascular collapse GI: vomiting,
diarrhea, abdominal cramps GU: Evaluate for signs and Advise patient to
menstrual irregularities Metabolic: symptoms of overdose, avoid getting
hyperthyroidism Musculoskeletal: including those of overheated, as in hot
accelerated bone maturation (in hyperthyroidism (weight loss, environments or
children), decreased bone density (in cardiac symptoms, abdominal during vigorous
women on long-term therapy) Skin: cramps). exercise.
alopecia (in children), diaphoresis
Other: heat intolerance, weight loss Watch for signs and as appropriate,
symptoms of bleeding review all other
Contraindications tendency, especially in significant and life-
● Hypersensitivity to drug, its patients receiving threatening adverse
components, or tartrazine anticoagulants concurrently reactions and
● Acute myocardial infarction interactions,
● Thyrotoxicosis especially those
● Adrenal insufficiency Precautions related to the drugs,
Use cautiously in: tests, and foods
● cardiovascular disease, severe renal mentioned above
insufficiency, diabetes mellitus
● elderly patients
● pregnant or breastfeeding patients.
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