A patient has just been prescribed levothyroxine; the NP puts in a lab order to check TSH levels in?
(Ans- 6-8 weeks
A patient comes into the clinic complaining of sore throat and fever. She has recently started Met
...
A patient has just been prescribed levothyroxine; the NP puts in a lab order to check TSH levels in?
(Ans- 6-8 weeks
A patient comes into the clinic complaining of sore throat and fever. She has recently started Methimazole in the last 4 weeks. What does this suggest?
(Ans-
-Agranulocytosis
-Labs to check:
CBC
LFTs
A newly pregnant patient shows understanding of Hypothyroidism in pregnant women by stating?
(Ans- 2. I know that if I do not take my medicine, it can cause permanent damage to my baby.
3. I will need to increase my dose of medicine for a short time.
(Increased by 50% from weeks 4-8, back to normal by wk 16)
What are some food/supp interactions that can occur with levothyroxine?
(Ans-
-Calcium
-Iron
-Magnesium
-Vit C
-Antacids
-Take 30-60 mins before meals in the morning
What labs would you order to help diagnose thyroid conditions?
(Ans-
-TSH
-T3
-T4
-Anti TPO
What is the role of Radioactive iodine and what is a possible adverse effect?
(Ans-
-Destruction of thyroid tissue
-May need levothyroxine for life
What adjunctive med can be used for hyperthyroidism?
(Ans-
-Beta-blockers (Mask symptoms of Hypoglycemia)
-Non-radioactive iodine
Once a patient reaches a euthyroid state, how often should the be tested?
(Ans-
-Once a year
A patient has a TSH of .28 (Low), a free T4 of 3 (High), and a free T3 over 650 (Very High). What med should she be started on?
(Ans-
-Patient has Hyperthyroidism
-Treatment for a thyroid storm is (to suppress hormone release):
Potassium iodide
Strong iodine solution
Methimazole
A patient receives his first lab results showing an A1C of 7.2%. What is the diagnosis?
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