RUA Medication Teaching Plan - Abolanle Salami PDF

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Download RUA Medication Teaching Plan - Abolanle Salami PDF

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Drug class: Synthetic Thyroid Hormone

Nursing Management: Assess apical pulse and BP prior to and during therapy. Also, monitor thyroid stimulating hormone serum levels in adults 8-12 weeks after changing from one brand to another. Overdose is Synthroid is used to treat hypothyroidism, a condition manifested as hypothyroidism (tachycardia, chest pain, where the thyroid gland does not produce enough thyroid weight loss, insomnia, diaphoresis). Usual treatment is to hormone. It helps increase basic metabolic rate, enhances withhold dose for 2-6 days then resume at lower dose. gluconeogenesis and stimulate protein synthesis. Synthroid Patient Education Considerations: Instruct patients to is also used to help decrease the size of enlarged thyroid take Synthroid in the morning at the same time, 30-60 glands (also called a goiter) and to treat thyroid cancer minutes before breakfast to help maintain a consistent Drug administration and dosage: Synthroid is available blood levels of the drug and to help prevent insomnia. Inform patients that it may take several weeks before in the following dosage forms: capsule, Solution, Tablet. they notice an improvement in the symptoms. Explain to Synthroid is administered as a single daily dose, preferably patients that the medication does not cure one-half to one-hour before breakfast. It is available for hypothyroidism. Therapy is lifelong. Advise patients to adults at a starting dose of 1.7 mcg/kg or 100-125 mcg inform the doctor if they have any other medical daily by mouth; not to exceed 300 mcg/day. For severe conditions, especially heart disease, diabetes, blood hypothyroidism an initial dose of 12.5-25 mcg can be clotting problems. The dose of other drugs may have to be changed while they are taking Synthroid given daily and the dose can be adjusted by 25 mcg/day Patient assessment: Monitor patients for quarterly as needed, accompanied by clinical and hypersensitivity (rash, hives, swelling, difficulty laboratory assessment, until the TSH level is normalized. breathing). Do not use Synthroid if patients have Due to the long half-life of levothyroxine, the peak uncorrected adrenal problems. Taking too much therapeutic effect at a given dose of Synthroid may not be levothyroxine has been associated with increased bone attained for 4-6 weeks. loss(osteoporosis), especially in women after menopause so monitor for fractures. Watch for signs and symptoms Drug/food interactions: Cotton seed meal, dietary fiber, of thyrotoxicosis (tachycardia, increased BP, angina, soybean flour, or walnuts may decrease the absorption of tremor, heat intolerance, insomnia). Synthroid. Calcium supplements and magnesium, iron Potential Side Effects/Adverse Effects/Toxicities: Due supplements or multivitamins containing iron can also to prolonged half-life there is an increased risk of interact with Synthroid. Some ulcer medications such as toxicity when taking Synthroid. Adverse reactions sucralfate and some cholesterol lowering drugs such as associated with Synthroid therapy are primarily those of those containing cholestyramine bind to thyroid hormone hyperthyroidism due to therapeutic overdosage: in the GI tract which reduces the absorption of both drugs. arrythmias, myocardial infraction, dyspnea, muscle spasm, nervousness, insomnia, tremors, increased Lab effects/interference: After oral administration, appetite, weight loss, diarrhea, heat intolerance, and skin Synthroid is absorbed in the GI tract and exhibits peak rash. plasma levels in about 2-3 weeks. Its bioavailability is Special considerations: Synthroid is the same as the between 40-80%. Half-life of Synthroid is 6-7 days. The natural thyroxine hormone your body would usually monitoring of serum TSH and free thyroid hormone levels produce, so it is safe to take in pregnancy. Instruct female patients to notify the provider if they are pregnant are required to determine the appropriate dose of or breastfeeding or are thinking of becoming pregnant Synthroid. Dose is increased gradually based on thyroid while taking Synthroid. The dose of Synthroid may need function tests. If the TSH level is low, patient’s thyroid hormone dose is excessive and should be reduced. In most to be increased during pregnancy. Emphasis importance of following up with the doctor to monitor progress. patients on Synthroid, the goal TSH level is between 0.5 to 2.5 mU/L. Synthroid is metabolized by the liver, it undergoes enterohepatic recirculation and secreted in the feces via bile. Mechanism of action:

Keep your thyroid levels in line with Synthroid...