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5 Cards in this Set

  • Front
  • Back
What is the treatment for hypothyroidism? Which form is given if the patient is deficient in 5-deiodinase?
T4 (Levothyroxine) given (converted to T3 in the body by 5-deiodinase)
Give T3 form (Liothyronine) if deficient in 5-deiodinase.
What are the two invasive options for hyperthyroidism?
Surgical removal
Radioactive iodine
Why are glucocorticoids used to treat hyperthyroidism?
Decreases TSH receptor antibody production in Grave's.
Decreases TSH production by the anterior pituitary.
Slows T4 --> T3 conversion
How does propylthiouracil work to treat hyperthyroidism? What is the main side effect? What formulations are available? When are they used?
Inhibits thyroid peroxidase to prevent iodination and coupling of hormone.
Blocks T4--> T3 (propylthiouracil)
Side effect- liver damage (propylthiouracil)
options: propylthiouracil, methimazole, carbimazole
Used for Grave's and prior to thyroidectomy.
What are the rapid effects of iodide in the hyperthyroid patient? What occurs after a few days? What is it used to treat?
1-2 days, inhibits iodide concentration by blocking the symporter.
7-10 days, decreased hormone synthesis and decreased release of exisiting T4/T3
Used to treat a thyrotoxic storm and as an adjuvant to thyroidectomy.