.
Radioactive iodine
Levothyroxine
Thioamides
Iodides
Irreversible mental retardation and dwarfism caused by congenital hypothyroidism
Severe hypothyroidism
Enlargement of the thyroid gland
Autoimmune disorder that results in hyperthyroidism
Assess for malabsoprtion, diarrhea
Decrease dosage
Assess for Angina
Increase dosage
"It's okay to switch brands, there is no difference in absorption"
"I should avoid taking my Iron and calcium supplements at the same time as I take my Levothyroxine"
"After one year of taking my Levothyroxine, my thyroid will be back to normal"
" I should take my medication on an empty stomach in the morning or at bedtime"
4- 6 weeks
6-8 weeks
2-3 weeks
8-10 weeks
Peripheral resistance to thyroid hormone
Drugs like Lithium & amiodarone
Iodine elevated
Toxic adenoma
Hashimoto thyroiditis
Hepatitis C
Autoimmune disorder
Bradycardia
Nervousness, irritability,
Palpably enlarged thyroid (goiter)
Skin pallor or yellowing (carotenemia)
Peripheral edema, puffy face and eyelids
Tremor, hyperreflexia
Dry, pale skin
T4- Low T3- Low TSH- High
T4- High T3- High TSH- Low
T4- Low T3- High TSH- Normal
Hashimoto thyroiditis
Toxic diffuse goiter (Graves disease)
Toxic adenoma
Peripheral resistance to thyroid hormone
Genetic thyroid enzyme defects
True
False
Nervousness, irritability
Cool dry skin
Tachycardia, arrhythmias
Heat intolerance, increased perspiration
Decreased appetite
Goiter
Suppressed TSH and elevated T3 & T4
Elevated TSH and suppressed T3 & T4
Thioamides
Levothyroxine
Somostatin Analogs
Iodides
Propanolol
True
False
Inhibits iodine organification & hormone release
Inhibit cell-mediated immunologic functions
Inhibit thyroid peroxidase reactions, iodine organification, and peripheral conversion of T4 to T3 (prevent hormone synthesis)
GI symptoms, Nausea,
Rash
Agranulocytosis
Hypothyroidism
Edema
Hepatitis
Ace inhibitors
Beta blockers
Calcium channel blockers
Alpha Blockers
Methimazole
Radioiodine
Propylthiouracil (PTU)
Subtotal thyroidectomy
Propylthiouracil (PTU)
Methimazole
Propanolol
Iodine