Flash Endo. Thyroid replacementJesus PerezAugust 3, 2023 Welcome to your Flash Endo. Thyroid replacement 1. Flashcard# 1 Endo ThyroidWhat is the primary indication for prescribing levothyroxine?Hypothyroidism, or an underactive thyroid gland. 2. Flashcard# 2 Endo ThyroidA patient on thyroid replacement therapy who presents with palpitations, insomnia, and unexplained weight loss might be experiencing symptoms of what?Hyperthyroidism or over-replacement with thyroid medication. 3. Flashcard# 3 Endo ThyroidWhich side effect of thyroid replacement therapy may indicate an overdose and require prompt medical attention?Chest pain or rapid or irregular heartbeat. 4. Flashcard# 4 Endo ThyroidWhy should thyroid replacement drugs be used with caution in patients with cardiovascular diseases?Thyroid hormones can increase cardiac output, heart rate, and myocardial contractility, potentially exacerbating cardiovascular conditions. 5. Flashcard# 5 Endo ThyroidIn patients with adrenal insufficiency, why should corticosteroids be administered before initiating thyroid replacement therapy?Initiating thyroid replacement prior to corticosteroids can precipitate an adrenal crisis due to increased metabolic clearance of corticosteroids. 6. Flashcard# 6 Endo ThyroidWhy is it recommended to take levothyroxine on an empty stomach?Food can interfere with its absorption from the gastrointestinal tract. 7. Flashcard# 7 Endo ThyroidWhat is the best time of day to administer thyroid replacement drugs like levothyroxine?Typically, in the morning, 30 minutes to an hour before breakfast. 8. Flashcard# 8 Endo ThyroidWhen monitoring a patient recently started on thyroid replacement therapy, what important laboratory test should the nurse regularly check?Thyroid-stimulating hormone (TSH) to ensure appropriate dosing and therapeutic response. 9. Flashcard# 9 Endo ThyroidIf a patient forgets a dose of their thyroid medication, what should the nurse advise them to do?ake the missed dose as soon as remembered unless it's close to the time of the next dose. They should not double up doses. 10. Flashcard# 10 Endo ThyroidWhat education should a nurse provide regarding a potential interaction between levothyroxine and calcium or iron supplements?Calcium or iron supplements can reduce the absorption of levothyroxine, so patients should take these supplements at least 4 hours apart from their thyroid medication. 1 out of 10 Please fill in the comment box below. Time's up
