hyperthyroidism & hypothyroidism

Question 1

s/s:
- increased metabolic rate
- nervous irritable, palpitations, tachycardia, heat intolerance, excessive perspiration, exophthalmos, increased appetite, wt loss, amenorrhea

Answer 1

hyperthyroidism

Question 2

s/s:
- slow metabolic rate
- lethargy, constipation, wt gain, complains of being cold even in warm environments, menstrual disturbances, decreased libido
- abnormally sensitive to sedatives, opioids, anesthetic agents

Answer 2

hypothyroidism

Question 3

• inhibits production thyroid hormones, doesn’t interfere w/ previously stored hormones, might not take effect for a few weeks
• short half life –> give q8h
• BBW: AST/ALT
• pt may require higher dose at first
• interacts w/ anticoagulants
• teach bleeding precautions
• avoid iodine
• AE: dermatologic, dizziness, drowsiness, headache

Answer 3

propylthiouracil

Question 4

propylthiouracil is used to treat

Answer 4

hyperthyroidism

Question 5

• beta-blocker
• slows HR, lowers BP
• doesn’t control hormones, helps w/ symptoms
• useful for controlling symptoms during delayed response to other drugs
• don’t give if HR <60 or diastolic <90
• discontinued when pt becomes euthyroid

Answer 5

propanolol

Question 6

• large amount radiation in a single dose to pt
• must get to an almost normal thyroid level before this
• reduces size of thyroid or destroys diseased thyroid tissue
• teach pt to abide by radiation precautions after tx

Answer 6

radioactive iodine

Question 7

T/F: after receiving radioactive iodine treatment, the patient may take public transportation, share utensils, and flush regularly

Answer 7

F

Question 8

• not used for obesity/wt loss purposes
• increases metabolic rate
• hold if Hr >100
• increases HR

Answer 8

levothyroxine sodium

Question 9

levothyroxine sodium is given to treat

Answer 9

hypothyroidism