What is the nursing implications for levothyroxine?

What is the nursing implications for levothyroxine?

Nursing considerations Levothyroxine should be taken on an empty stomach with water, at least 1 hour before eating. Even coffee has been shown to interfere with the absorption of T4. And levothyroxine is incompatible with many other medications, so it should be taken alone.

What drug products should be avoided when taking levothyroxine na?

Drugs that Impair Levothyroxine Absorption A number of drugs have been shown to impair the absorption of levothyroxine; these drugs include calcium carbonate, aluminum- containing antacids, sucralfate, iron supplements, cholestyramine, sevelamer, and, possibly, ciprofloxacin, raloxifene, and orlistat.

What are contraindications for levothyroxine?

Who should not take LEVOTHYROXINE SODIUM?

  • overactive thyroid gland.
  • thyrotoxicosis crisis.
  • diabetes.
  • pituitary hormone deficiency.
  • a condition where the adrenal glands produce less hormones called Addison’s disease.
  • osteoporosis, a condition of weak bones.
  • decreased calcification or density of bone.

What should you check before administering levothyroxine?

Administer SYNTHROID at least 4 hours prior to these drugs or monitor TSH levels. Gastric acidity is an essential requirement for adequate absorption of levothyroxine. Sucralfate, antacids and proton pump inhibitors may cause hypochlorhydria, affect intragastric pH, and reduce levothyroxine absorption.

What are the nursing interventions for a patient with hyperthyroidism?

Nursing Management

  • Monitor vital signs, especially heart rate and blood pressure (both increase in hyperthyroidism)
  • Ask if the patient has chest pain (Due to increased heart work)
  • Listen to the heart for murmurs.
  • Obtain ECG (atrial arrhythmias may occur in hyperthyroidism)
  • Teach the patient to relax.

What priority concerns should the nurse identify with hypothyroidism?

Diagnosis. Based on the assessment data, the nursing diagnoses appropriate for a patient with hypothyroidism are: Activity intolerance related to fatigue and depressed cognitive process. Risk for imbalanced body temperature related to cold intolerance.

What are the side effects of levothyroxine sodium?

Levothyroxine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

  • weight gain or loss.
  • headache.
  • vomiting.
  • diarrhea.
  • changes in appetite.
  • fever.
  • changes in menstrual cycle.
  • sensitivity to heat.

Does levothyroxine cause high blood pressure?

Effect of Levothyroxine on Blood Pressure in Patients With Subclinical Hypothyroidism: A Systematic Review and Meta-Analysis. Background: Patients with subclinical hypothyroidism (SCH) have elevated blood pressure, but the effect of levothyroxine (LT4) therapy on blood pressure among those patients is still unclear.

What is levothyroxine sodium used for?

Levothyroxine is a medicine used to treat an underactive thyroid gland (hypothyroidism). The thyroid gland makes thyroid hormones which help to control energy levels and growth. Levothyroxine is taken to replace the missing thyroid hormone thyroxine. Levothyroxine is only available on prescription.

Which agent would a nurse expect to administer to a client with hypothyroidism?

Levothyroxine is a thyroid replacement drug used to treat hypothyroidism.

What would be the priority intervention for the nurse to do for a patient in thyroid storm?

If thyroid storm is suspected, emergency treatment needs to be instituted immediately. Patients may need cardiac monitoring, intubation and mechanical ventilation with supplemental oxygen, and IV fluids. The patient requires antithyroid medications and may receive IV corticosteroids and beta-adrenergic medications.

What nursing interventions should occur in a client with hypothyroidism?

Nursing interventions for a patient with hypothyroidism include the following:

  • Promote rest.
  • Protect against coldness.
  • Avoid external heat exposure.
  • Mind the temperature.
  • Increase fluid intake.
  • Provide foods high in fiber.
  • Manage respiratory symptoms.
  • Pulmonary exercises.

What does levothyroxine sodium do to the body?

Levothyroxine sodium increases the basal metabolic rate (BMR) of carbohydrates, fats and proteins. It is also involved in the regulation and differentiation of cell growth. These effects are mediated at the cellular level by the thyroxine metabolite, tri-iodothyronine.

What are the nursing implications of levothyroxine?

Nursing Implications. Note: Levothyroxine may aggravate severity of previously obscured symptoms of diabetes mellitus, Addison’s disease, or diabetes insipidus. Therapy for these disorders may require adjustment. Lab tests: Baseline and periodic tests of thyroid function.

What are the nursing considerations of enoxaparin (Lovenox)?

What are the Nursing Considerations of Enoxaparin (Lovenox) Nursing Pharmacology Considerations? 1 contraindicated in pork hypersensitivity 2 monitor for signs of bleeding 3 administer in subcutaneous tissue 4 DO NOT eject air bubble prior to injection 5 DO NOT aspirate or massage site

What are the ingredients in Teva levothyroxine?

Teva levothyroxine tablets contain maize starch, mannitol (E421), microcrystalline cellulose, sodium citrate, acacia and magnesium stearate [76]. Euthyrox tablets contain magnesium stearate (E 572) and croscarmellose sodium (E 468) [77].