THYROID

MEDICATIONS
BY:
ESPRA, PAUL ANDRAE
GALON, ALPH MYKYLL PI
MAGDOLOT, MARIFE
DECIERDO, KRYSTAL GAYLE
 THYROID HORMONES

 THESE PRODUCTS ARE USED TO TREAT

THE MANIFESTATIONS OF
HYPERTHYROIDISM

 REPLACE HORMONAL DEFICIT IN THE

TREATMENT OF HYPOTHYROIDISM
 THYROID HORMONES:
DRUGS

 LEVOTHYROXINE (SYNTHROID)

 LIOTHYROXINE (CYTOMEL)

 THYROID DESSICATED

 LIOTRIX (THYROLAR)
 MECHANISM OF ACTION

 REPLACES BOTH T3 AND T4

 INCREASES METABOLIC RATE

 INCREASE O2 CONSUMPTION

 INCREASE HR, RR & BP

 INDICATIONS

 HYPOTHYROIDISM

 DIAGNOSTIC SUPPRESSION TEST

 SIDE EFFECTS

 NAUSEA AND VOMITING

 SIGNS OF INCREASED METABOLISM-

TACHYCARDIA, HYPERTENSION,
CARDIAC ARRHYTHMIAS, ANXIETY,
HEADACHE, TREMORS, PALPITATIONS
NURSING RESPONSIBILITIES

1. MONITOR WEIGHT, VS

2. INSTRUCT CLIENT TO TAKE DAILY

MEDICATION THE SAME TIME EACH
MORNING WITHOUT FOOD

3. MONITOR BLOOD TESTS TO CHECK THE

ACTIVITY OF THYROID
4. ADVISE TO REPORT PALPITATION,
TACHYCARDIA AND CHEST PAIN

5. INSTRUCT TO AVOID FOODS THAT

INHIBIT THYROID SECRETIONS LIKE
CABBAGE, SPINACH AND RADISHES
 ANTI-THYROID MEDICATIONS

 THE THYROID BECOMES OVERSATURATED

WITH IODINE AND STOP PRODUCING THYROID
HORMONE

 DRUGS USED TO BLOCK THE THYROID

HORMONES AND TREAT HYPERTHYROIDISM

 INHIBIT THE SYNTHESIS OF THYROID

HORMONES
 ANTI-THYROID MEDS:
DRUGS

 METHIMAZOLE (TAPAZOLE)

 PTU (PROPHYLTHIOURACIL)

 IODINE SOL’N- SSKI AND LUGOL’D SOL,N

 INDICATIONS

 GRAVE’S DISEASE

 THYROTOXICOSIS
 MECHANISM OF ACTION

ABSORPTION IS GOOD ORALLY

 SIDE EFFECTS OF
THIONAMIDES

 N/V, DROWSINESS, LETHARGY, BRADYCARDIA,

SKIN RASH

 GI COMPLAINTS

 ARTHRALGIA, MYALGIA

 AGRANULOCYTOSIS- MOST IMPORTANT TO

MONITOR
 SIDE EFFECTS OF IODINE SOL’N
(LUGOL’S)

 MOST COMMON ADVERSE EFFECTS IS

HYPOTHYROIDISM

 IODISM- METALLIC TASTE, BURNING IN

THE MOUTH, SORE TEETH AND GUMS,
DIARRHEA. STOMACH UPSET
 NSG. RESPONSIBILITIES

1. MONITOR VS, T3 and T4, WEIGHT

2. THE MEDICATIONS WITH MEALS TO AVOID GASTRIC

UPSET

3. INSTRUCT TO REPORT SORE THROAT OR

UNEXPLAINED FEVER

4. MONITOR FOR SIGNS OF HYPOTHYROIDISM-

INSTRUCT NOT TO STOP ABRUPT MEDICATION
 NSG. RESPONSIBILITIES
(LUGOL’S SOL’N)

 USED TO DECREASE THE VASCULARITY AND

SIZE OF THE THYROID (IN PREPARATION FOR
THYROID SURGERY)

 T3 AND T4 PRODUCTION DIMINISHES

 GIVEN PER OREM, CAN BE DILUTED W/ JUICE,

ADMINISTERED WITH FOODS
 USE STRAW TO DECREASE
STAINING

 MONITOR IODISM
TO BE CONTINUED…