Synthroid Medication Card

University:
Concordia University Saint Paul
Course:
NUR 380 | Fundamentals of Professional Nursing
Academic year:

2024
Views:

23

Pages:

1
Author:

esfredint7qo

ACTIVE LEARNING TEMPLATE: Medication levothyroxine - Synthroid MEDICATION __________________________________________________________________________ hormones - thyroid replacement CATEGORY CLASS ______________________________________________________________________ REVIEW MODULE CHAPTER ___________ PURPOSE OF MEDICATION Expected Pharmacological Action Synthetic form of thyroxine (T4 ). Replacement of or supplementation to endogenous thyroid hormones. Therapeutic Use Replacement in hypothyroidism to restore normal hormonal balance.Suppression of thyroid cancer. Complications CNS: headache, insomnia, irritability CV: angina pectoris, arrhythmias, tachycardia Derm: sweating Endo: hyperthyroidism, menstrual irregularities GI: abdominal cramps, diarrhea, vomiting Metabolic: heat intolerance, weight loss Contraindications/Precautions Contraindicated in:Hypersensitivity; Recent MI; Hyperthyroidism. Use Cautiously in: Cardiovascular disease (initiate therapy with lower doses); Severe renal insufficiency; Uncorrected adrenocortical disorders; Interactions Medication Administration PO (Adults): Hypothyroidism– 50 mcg as a single dose initially; may be every 2– 3 wk by 25 mcg/day; usual maintenance dose is 75– 125 mcg/day (1.5 mcg/kg/day).IM IV (Adults): Hypothyroidism– 50– 100 mcg/day as a single dose. Nursing Interventions Assess apical pulse and BP prior to and periodically during therapy. Assess for tachyarrhythmias and chest pain. Cholestyramine, colesevelam, colestipol, sodium polystyrene sulfonate, and sevelemer may bind to and decrease absorption of orally administered levothyroxine; administer levothyroxine 4 hr prior to these medications.Absorption may be decreaased by orlistat, proton pump inhibitors, sucralfate, antacids, and simethicone.May increase the effects of warfarin.May increase requirement for insulin or oral hypoglycemic agents in diabetics. Client Education Evaluation of Medication Effectiveness Resolution of symptoms of hypothyroidism and normalization of hormone levels. 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.