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17 Cards in this Set

  • Front
  • Back

Thyroid Gland secretes 3 Hormones

Thyroxine (T4)


Triiodothyronine (T3)


Calcitonin

Parathyroid Gland (responsible for)

Maintaining adequate Ca+ levels in the extracellular fluid

Hypothyroidism Deficiency in Thyroid Hormones: (Primary)

Abnormality in the thyroid gland itself

Hypothyroidism Deficiency in Thyroid Hormones: (Secondary)

Results when pituitary gland is dysfunctional and does not secrete TSH

Hypothyroidism Deficiency in Thyroid Hormones: (Tertiary)

Results when the hypothalamus gland does not secret TRH,which stimulates the release of TSH

Hypothyroidism Youth Hormone

Cretinism


-Hyposecretion of thyroid hormone during youth



-low metabolic rate, retarded growth and sexual development, possible mental retardation

Hypothyroidism Adult Hormone

Myxedema


-Hyposecretion of thyroid hormone during adulthood



-Decreased metabolic rate, loss of mental & physical stamina, weight gain, loss of hair, firm edema, yellow dullness of the skin

Hyperthyroidism (Goiter)

-enlarged thyroid gland



- results from over stimulation by elevated levels of TSH



-TSH is elevated because there is little to no thyroid hormone circulation

Hypothyroid Drugs

Levothyroxine (synthetic T4)


Liothyronine (synthetic T3)


Liotrix (synthetic T3-T4 combined)


Thyroid (desiccated animal thyroid)

Hypothyroid Drugs MOA

-replace what the thyroid gland cannot produce to achieve normal thyroid levels ( euthyroid)



-thyroid drugs work the same as thyroid hormones

Hypothyroid Indications

-treats all three forms of hypothyroidism


-Levothyroxine is preferred (it's standardized and has a predictable effect)


-Euthyroid ( normal thyroid levels)



-used for thyroid replacement whose thyroid gland was surgically removed or destroyed by radioactive iodine (treats thyroid cancer or hyperthyroidism)

Hypothroid Drugs: Adverse Effects

Cardiac dysrthythmia


Increase in beta cell receptors

Hyperthyroidism (excessive thyroid hormones) caused by diseases

Grave's Disease


Plummer's disease (toxic nodular)


Multinodular disease


Thyroid Storm (induced by stress or infection)

Hyperthyroidism: Affects

-multiple body systems


-overall increase in metabolism

Hyperthyroidism (Treatment)

-Radioactive iodine (I 131) destroys thyroid gland


-Surgically remove all/part of thyroid gland


-lifelong thyroid hormone replacement


-

Hyperthyroidism (Antithyroid drugs)

Thioamide derivatives


- Methimazole


-propylthiouracil

Antithyroid Drugs: (Indication)

-Used to palliative hyperthyroidism



-Prevent the surge in thyroid hormones after surgical treatment during or after radioactive iodine



-May cause liver and bone marrow toxicity