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Drug Card Synthroid

This document summarizes key information about the medication levothyroxine (Synthroid) including its classification, dose, route of administration, time/frequency, mechanism of action and indications, nursing implications, interactions, lab value alterations, and the nursing process related to its administration. Levothyroxine is a hormone taken orally once daily to treat hypothyroidism by increasing the metabolic rate of body tissues. Nurses should monitor the patient's pulse, blood pressure, and for side effects like arrhythmias or chest pain when administering this medication.

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Adrianne Bazo
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3K views1 page

Drug Card Synthroid

This document summarizes key information about the medication levothyroxine (Synthroid) including its classification, dose, route of administration, time/frequency, mechanism of action and indications, nursing implications, interactions, lab value alterations, and the nursing process related to its administration. Levothyroxine is a hormone taken orally once daily to treat hypothyroidism by increasing the metabolic rate of body tissues. Nurses should monitor the patient's pulse, blood pressure, and for side effects like arrhythmias or chest pain when administering this medication.

Uploaded by

Adrianne Bazo
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Adrianne Bazo

11-18-08

Clinical Medications Worksheets


Generic Trade Classification Dose Route Time/frequency
Name Name hormones 100 mcg PO qD
levothyroxine Synthroid
Peak Onset Duration Normal dose range
1-3 wk unknown 1-3 wk Usual maintenance dose is 75-125 mcg/day

Mechanism of action and indications Nursing Implications (what to focus on)


(Why med ordered) Contraindications/warnings/interactions
Principal effect is increasing metabolic rate of body Hypersensitivity
tissues:
Promote gluconeogenesis, Increase utilization and
mobilization of glycogen stores, Stimulate protein Common side effects
synthesis, Promote cell growth and differentiation insomnia, irritability, nervousness, arrhythmias, tachycardia,
hypothyroidism weight loss

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Monitor thyroid function studies prior to and during therapy
None for this patient Monitor blood and urine glucose in diabetic patients. Insulin or
oral hypoglycemic dose may need to be increased
Be sure to teach the patient the following about this
medication
Advise patient to notify health care professional if headache,
nervousness, diarrhea, excessive sweating, heat intolerance,
chest pain, increased pulse rate, palpitations, weight loss >2
lb/wk, or any unusual symptoms occur. Teach correct
technique for checking pulse. Therapy is lifelong
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give Check after giving
Assess apical pulse and blood pressure prior this med? Resolution of symptoms of
to and periodically during therapy. Assess for Dose should be withheld and health care hypothyroidism,
tachyarrhythmias and chest pain professional notified if resting pulse Diuresis,Weight loss,
>100 bpm. Increased energy, pulse rate,
s/s of toxicity- manifested as appetite, psychomotor activity,
hyperthyroidism- ↑HR, chest pain, increased T3 and T4 levels
nervousness, insomnia, diaphioresis,
tremors, wt. loss

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