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28 Cards in this Set
- Front
- Back
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Hypothyroidism Presentation
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cold intolerance, fatigue, somnolence, constipation, menorrhagia, myalgias, dry skin, weight gain
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Hypothyroid treatment
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Levothyroxine is drug of choice - Changes are made at 6-8 week intervals
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Levothyroxine counseling
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Take 30 minutes before breakfast - food decreases absorption
Don't take antacids, calcium, or iron supplements withing 4 hours |
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Levothyroxine adverse effects
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Tachycardia, angina, tremor, HA, insomnia, diarrhea, voniting, cramps, weight loss, fatigue, excessive sweating
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Levothyroxine monitoring
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TSH every 6-8 weeks until normalized, then every 6-12 months
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Armour Thyroid Generic
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Desiccated thyroid Brand
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Cytomel/Triostat Generic
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Liothyronine Brand (T3)
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Thyrolar Generic
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Liotrix (T4 and T3 in 4:1 ration) Brand
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Hyperthyroidism Presentation
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Heat intolerance, weight loss, weakness
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Most common cause of hyperthyroidism
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Graves disease, Amiodarone and iodine also
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Hyperthyroidism diagnosis
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Elevated T4 or T3 and decreased TSH
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Hyperthyroid treatment methods
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Surgery, radioactive iodine, antithyroid drugs
RAI treatment of choice in Graves' Disease Propylthiouracil preferred in pregnancy |
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Thionamides (Methimazole and Propylthiouracil) MOA
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Inhibit synthesis of thyroid hormones by preventing incorporation of iodine into iodotyrosines
PTU inhibits peripheral converson of T4 to T3 |
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Methimazole and PTU Adverse Effects
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Feer, headache, rash, arthralgia, jaundice, hepatitis
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Hypothyroidism Presentation
|
cold intolerance, fatigue, somnolence, constipation, menorrhagia, myalgias, dry skin, weight gain
|
|
|
Hypothyroid treatment
|
Levothyroxine is drug of choice - Changes are made at 6-8 week intervals
|
|
|
Levothyroxine counseling
|
Take 30 minutes before breakfast - food decreases absorption
Don't take antacids, calcium, or iron supplements withing 4 hours |
|
|
Levothyroxine adverse effects
|
Tachycardia, angina, tremor, HA, insomnia, diarrhea, voniting, cramps, weight loss, fatigue, excessive sweating
|
|
|
Levothyroxine monitoring
|
TSH every 6-8 weeks until normalized, then every 6-12 months
|
|
|
Armour Thyroid Generic
|
Desiccated thyroid Brand
|
|
|
Cytomel/Triostat Generic
|
Liothyronine Brand (T3)
|
|
|
Thyrolar Generic
|
Liotrix (T4 and T3 in 4:1 ration) Brand
|
|
|
Hyperthyroidism Presentation
|
Heat intolerance, weight loss, weakness
|
|
|
Most common cause of hyperthyroidism
|
Graves disease, Amiodarone and iodine also
|
|
|
Hyperthyroidism diagnosis
|
Elevated T4 or T3 and decreased TSH
|
|
|
Hyperthyroid treatment methods
|
Surgery, radioactive iodine, antithyroid drugs
RAI treatment of choice in Graves' Disease Propylthiouracil preferred in pregnancy |
|
|
Thionamides (Methimazole and Propylthiouracil) MOA
|
Inhibit synthesis of thyroid hormones by preventing incorporation of iodine into iodotyrosines
PTU inhibits peripheral converson of T4 to T3 |
|
|
Methimazole and PTU Adverse Effects
|
Feer, headache, rash, arthralgia, jaundice, hepatitis
|
