Synthroid[1]
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1 NURS 2516 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name levothyroxine Synthroid Peak 1-3 wk
Onset unknown
Classification thyroid preparations Duration 1-3 wk
Dose 0.125 mcg
Route po
Time/frequency 0600 daily
For IV meds, compatibility with IV drips and /or solutions N/A
2 Mechanism of action and indications (Why med ordered) Principal effect is increasing metabolic rate of body tissues: P r o m o t e g l u c o n e o g e n e s i s
I n c r e a s e u t i l i z a
Nursing Implications (what to focus on) Contraindications/warnings/interactions Contraindicated in: H y p e r s e n s i t i v i t y
R e c e n t M I
T h y r o t o x i c o s
3 Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) May ↓ response to beta blockers (Timoptic)
Lab value alterations caused by medicine None known Be sure to teach the patient the following about this medication Advise patients to take Levoxyl tablets with water. Levoxyl tablets may rapidly swell and disintegrate resulting in choking, gagging, the tablet getting stuck in the throat, and difficulty swallowing. Taking with water usually prevents this. Instruct patient to take medication as directed at the same time each day. Take missed doses as soon as remembered unless almost time for next dose. If more than 2-3 doses are missed, notify health care professional. Do not discontinue without consulting health care professional. Emphasize importance of follow-up exams to monitor effectiveness of therapy. Thyroid function tests are performed at least yearly. Caution patient not to change brands of thyroid preparations, as this may affect drug bioavailability. Caution patient to avoid taking other medications concurrently with thyroid preparations unless instructed by health care professional. Instruct patient to inform health care professional of thyroid therapy.
Nursing Process- Assessment (Pre-administration assessment) Assess apical pulse and blood pressure prior to and periodically during therapy. Assess for tachyarrhythmias and chest pain
Assessment Why would you hold or not give this med? Resting pulse > 100
Evaluation Check after giving
4
R e s o l u t i o n o f s y m p t o m s o f h y p o t h y r o i d i s m . R e s p o n s e i n c l u d e s
5
Onset unknown
Classification thyroid preparations Duration 1-3 wk
Dose 0.125 mcg
Route po
Time/frequency 0600 daily
For IV meds, compatibility with IV drips and /or solutions N/A
2 Mechanism of action and indications (Why med ordered) Principal effect is increasing metabolic rate of body tissues: P r o m o t e g l u c o n e o g e n e s i s
I n c r e a s e u t i l i z a
Nursing Implications (what to focus on) Contraindications/warnings/interactions Contraindicated in: H y p e r s e n s i t i v i t y
R e c e n t M I
T h y r o t o x i c o s
3 Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) May ↓ response to beta blockers (Timoptic)
Lab value alterations caused by medicine None known Be sure to teach the patient the following about this medication Advise patients to take Levoxyl tablets with water. Levoxyl tablets may rapidly swell and disintegrate resulting in choking, gagging, the tablet getting stuck in the throat, and difficulty swallowing. Taking with water usually prevents this. Instruct patient to take medication as directed at the same time each day. Take missed doses as soon as remembered unless almost time for next dose. If more than 2-3 doses are missed, notify health care professional. Do not discontinue without consulting health care professional. Emphasize importance of follow-up exams to monitor effectiveness of therapy. Thyroid function tests are performed at least yearly. Caution patient not to change brands of thyroid preparations, as this may affect drug bioavailability. Caution patient to avoid taking other medications concurrently with thyroid preparations unless instructed by health care professional. Instruct patient to inform health care professional of thyroid therapy.
Nursing Process- Assessment (Pre-administration assessment) Assess apical pulse and blood pressure prior to and periodically during therapy. Assess for tachyarrhythmias and chest pain
Assessment Why would you hold or not give this med? Resting pulse > 100
Evaluation Check after giving
4
R e s o l u t i o n o f s y m p t o m s o f h y p o t h y r o i d i s m . R e s p o n s e i n c l u d e s
5
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