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NURS 5433 Module 5 endocrine/thyroid:Questions & Answers

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How soon should you follow up with a patient after starting thyroid medications? (Ans- 6-8 weeks. Recheck TSH. if TSH is high, increase dose by 0.1-1.0mcg/kg/day. Then recheck again in 6-8 weeks. What ... should you do if TSH is normal 6-8 weeks after you start thyroid medications? (Ans- maintain current dose, and then check annually What would you do is TSH is low 6-8 weeks after starting thyroid medication? (Ans- lower the dose, then recheck in 6-8 weeks. What is the starting dose of levythyroxine for patients 50 and older with no comorbidities? (Ans- 50mcgWhat is the starting dose of synthroid for patients 50 and older with CAD? (Ans- 25mcg What is the starting dose of synthroid of a healthy patient over 65? (Ans- 25mcg What is the starting dose of synthroid of a patient with CAD and over 65yrs old? (Ans- 12.5-25mcg What is an adverse effect of too much synthroid? (Ans- cardiac arrhythmias, s/s of hyperthyroid What is an infant dose of Synthroid? (Ans- 6-15mcg/kg/day What is a children's dose of synthroid? (less than age 12) (Ans- 4-6mcg/kg/dayHow should you instruct patients to take synthroid? (Ans- on empty stomach in the morning. Take 3-4 hours before zoloft, antacids, carafate, iron, cholestyramine, and any anticonvulsants When is a referral to an endocrinologist warranted with hypothyroidism? (Ans- congenital, secondary and tertiary hypothyroidism What is hyperthyroidism? (Ans- body's tissues are exposed to increased level of circulating thyroid hormone which causes excessive metabolic activity What is the most common cause of hyperthyroidism? (Ans- Graves disease Explain grave's disease (Ans- autoimmune process in which antibodies stimulate the TSH receptors on the thyroid, which causes the thyroid to overproduce T4. Which drugs can induce hyperthyroidism? (Ans- amiodarone, lithium, inteferonWhat are some causes of hyperthyroidism aside from grave's disease? (Ans- hyperemesis gravidarum, post partym thyroiditis, toxic adenoma, subacute granulomatous thyroiditis, thryoid cancer What are risk factors for hyperthyroidism? (Ans- female, patients taking thyroid replacement, patient having other autoimmune disorders, down syndrome, iodine deficiency, smoking What are some s/s of hyperthyroidism (Ans- palpitations, tachycardia, anxiety, heat intolerance, hyper defecation, A-fib, dyspnea, hyperpigmentation, weight loss, brisk reflexes, exophthalmos, blurred vision, diplopia What will the lab values be for hyperthyroid? (Ans- Low TSH and high T4. What is your action if you discover hyperthyroid on a patient? (Ans- depending how severe patient symptoms are, can start on propranolol to reduce tachycardia and tremors. Refer these patients out to endocrinologist [Show More]

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