Drug Levothyroxine Sodium
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NURS 1556 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Levothyroxin sodium
Trade Name Synthroid
Classification Thyroid hormone preparation
Dose
Route
Time/frequency
0.025 mg
PO
Every day
Peak
Onset
Duration
For IV meds, compatibility with IV drips and /or solutions
1 to 3 weeks
Unknown
1 to 3 week
N/A
Mechanism of action and indications (Why med ordered)
Nursing Implications (what to focus on) Contraindications/warnings/interactions
Thyroid supplementation in hypothyroidism, treatment or suppression of euthyroid goiters and thyroid cancer. Replacement of or supplementation to endogenous thyroid hormones. Principal effect is increasing metabolic rate of body tissues. Promote glycogen stores. Aid in development of brain and CNS.
Hypersensitivity, recent MI, hyperthyroidism. Use cautiously in: cardiovascular disease.
Ordered for: thyroid problems
Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Bile acid sequestrants, increase cardiovascular effects with adrenergics.
Common side effects Nervousness, headache, insomnia, dysphagia, arrhythmias, agina pectoris, hypotension, tachycardia.
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 in diabetic patients.
Be sure to teach the patient the following about this medication Take meds how and at same time each day, do not discontinue without contacting 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)
Assessment Why would you hold or not give this Assess apical pulse and blood pressure and periodically med? during therapy, assess for tachyarrhythmias and chest pain.
Allergies Decrease in TSH levels
Evaluation Check after giving Assess apical pulse and blood pressure.
Trade Name Synthroid
Classification Thyroid hormone preparation
Dose
Route
Time/frequency
0.025 mg
PO
Every day
Peak
Onset
Duration
For IV meds, compatibility with IV drips and /or solutions
1 to 3 weeks
Unknown
1 to 3 week
N/A
Mechanism of action and indications (Why med ordered)
Nursing Implications (what to focus on) Contraindications/warnings/interactions
Thyroid supplementation in hypothyroidism, treatment or suppression of euthyroid goiters and thyroid cancer. Replacement of or supplementation to endogenous thyroid hormones. Principal effect is increasing metabolic rate of body tissues. Promote glycogen stores. Aid in development of brain and CNS.
Hypersensitivity, recent MI, hyperthyroidism. Use cautiously in: cardiovascular disease.
Ordered for: thyroid problems
Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Bile acid sequestrants, increase cardiovascular effects with adrenergics.
Common side effects Nervousness, headache, insomnia, dysphagia, arrhythmias, agina pectoris, hypotension, tachycardia.
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 in diabetic patients.
Be sure to teach the patient the following about this medication Take meds how and at same time each day, do not discontinue without contacting 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)
Assessment Why would you hold or not give this Assess apical pulse and blood pressure and periodically med? during therapy, assess for tachyarrhythmias and chest pain.
Allergies Decrease in TSH levels
Evaluation Check after giving Assess apical pulse and blood pressure.
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