INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet
(You will need to made additional copies of these forms)
Generic Trade Classification Dose Route Time/Frequency Name Name hormones 75-125mcg PO daily (1.5mcg/kg/day) levothyroxine Synthroid thyroid preparations
Peak Onset Duration For IV meds, compatability with IV drips and/or solutions 1-3 weeks unknown 1-3 weeks Why is your patient taking this medication?
Mechanism of action and indications Nursing Implications (what to focus on)
Replacement/substitution in diminished or absent thyroid Contraindications/warnings/interactions Hypersensitivity; recent MI; function. thyrotoxicosis; alcohol intolerance; hypersensitivity to beef; use cautiously in: Thyroid cancer (some forms) CVD; severe renal insufficiency; uncorrected adrenocortical disorders; swallowing difficulty; geriatric. Replacement in deficiency states with restoration of normal hormonal balance. Common side effects insomnia; irritablity; nervousness; headache; Suppression of thyrotropin-dependent thyroid cancers. cardiovascular collapse; arrhythmias; tachycardia; angina pectoris; hypotension increased BP; increased CO; cramps; diarrhea; vomiting; levothyroxine tablets; choking; gagging; dysphagia; increase sweating; hyperthyroidism; menstrual irregularities; weight loss; heat intolerance; Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine medicines (ask patient specifically) Bile acid sequestrants; warfarin; insulin; oral hypoglycemic agents; estrogen; adrenergics; beta blockers. Be sure to teach the patient the following about this medication Take at same time every day; check apical pulse (hold if >100); call doctor for HA; nervousness; diarrhea; excessive sweating; heat intolerance; chest pain; palpitations; weight loss (>2lb/wk); take with water (may get stuck in throat, and difficulty swallowing if not.
Nursing Process - Assessment Assessment Evaluation
(Pre-administration assessment Why would you hold or not give Check after giving Vital signs (apical pulse BP) for tachyarrhythmias this med? Resolution of symptoms of hypothyroidism; and chest pain. hyperthyroidism Diuresis; weight loss; increased sense of well pulse >100 being; increased energy; pulse rate; appetite; psychomotor activity; normalization of skin texture and hair; correction of constipation.