Thyroid Medications.pptx

THYROID MEDICATIONS BY: ESPRA, PAUL ANDRAE GALON, ALPH MYKYLL PI MAGDOLOT, MARIFE DECIERDO, KRYSTAL GAYLE

THYROID HORMONES  THESE PRODUCTS ARE USED TO TREAT THE MANIFESTATIONS OF HYPERTHYROIDISM

 REPLACE HORMONAL DEFICIT IN THE TREATMENT OF HYPOTHYROIDISM

THYROID HORMONES: DRUGS  LEVOTHYROXINE (SYNTHROID)  LIOTHYROXINE (CYTOMEL)  THYROID DESSICATED  LIOTRIX (THYROLAR)

MECHANISM OF ACTION  REPLACES BOTH T3 AND T4  INCREASES METABOLIC RATE

 INCREASE O2 CONSUMPTION  INCREASE HR, RR & BP

INDICATIONS

 HYPOTHYROIDISM  DIAGNOSTIC SUPPRESSION TEST

SIDE EFFECTS

 NAUSEA AND VOMITING

 SIGNS OF INCREASED METABOLISMTACHYCARDIA, HYPERTENSION, CARDIAC ARRHYTHMIAS, ANXIETY, HEADACHE, TREMORS, PALPITATIONS

NURSING RESPONSIBILITIES 1. MONITOR WEIGHT, VS

2. INSTRUCT CLIENT TO TAKE DAILY MEDICATION THE SAME TIME EACH MORNING WITHOUT FOOD 3. MONITOR BLOOD TESTS TO CHECK THE ACTIVITY OF THYROID

4. ADVISE TO REPORT PALPITATION, TACHYCARDIA AND CHEST PAIN 5. INSTRUCT TO AVOID FOODS THAT INHIBIT THYROID SECRETIONS LIKE CABBAGE, SPINACH AND RADISHES

ANTI-THYROID MEDICATIONS  THE THYROID BECOMES OVERSATURATED WITH IODINE AND STOP PRODUCING THYROID HORMONE  DRUGS USED TO BLOCK THE THYROID HORMONES AND TREAT HYPERTHYROIDISM  INHIBIT THE SYNTHESIS OF THYROID HORMONES

ANTI-THYROID MEDS: DRUGS  METHIMAZOLE (TAPAZOLE)  PTU (PROPHYLTHIOURACIL)  IODINE SOL’N- SSKI AND LUGOL’D SOL,N

INDICATIONS

 GRAVE’S DISEASE  THYROTOXICOSIS

MECHANISM OF ACTION

ABSORPTION IS GOOD ORALLY

SIDE EFFECTS OF THIONAMIDES  N/V, DROWSINESS, LETHARGY, BRADYCARDIA, SKIN RASH  GI COMPLAINTS

 ARTHRALGIA, MYALGIA  AGRANULOCYTOSIS- MOST IMPORTANT TO MONITOR

SIDE EFFECTS OF IODINE SOL’N (LUGOL’S)  MOST COMMON ADVERSE EFFECTS IS HYPOTHYROIDISM  IODISM- METALLIC TASTE, BURNING IN THE MOUTH, SORE TEETH AND GUMS, DIARRHEA. STOMACH UPSET

NSG. RESPONSIBILITIES

1. MONITOR VS, T3 and T4, WEIGHT

2. THE MEDICATIONS WITH MEALS TO AVOID GASTRIC UPSET 3. INSTRUCT TO REPORT SORE THROAT OR UNEXPLAINED FEVER 4. MONITOR FOR SIGNS OF HYPOTHYROIDISMINSTRUCT NOT TO STOP ABRUPT MEDICATION

NSG. RESPONSIBILITIES (LUGOL’S SOL’N)  USED TO DECREASE THE VASCULARITY AND SIZE OF THE THYROID (IN PREPARATION FOR THYROID SURGERY)  T3 AND T4 PRODUCTION DIMINISHES  GIVEN PER OREM, CAN BE DILUTED W/ JUICE, ADMINISTERED WITH FOODS

 USE STRAW TO DECREASE STAINING

 MONITOR IODISM

TO BE CONTINUED…