Which medications would be used for a client with ...

[Awilson837]

Which medications would be used for a client with hyperthyroidism?
 
  1. Thyroid agents
  2. Antithyroid agents
  3. Corticosteroids
  4. Hormone replacement

Question 2

A client recently diagnosed with hypothyroidism returns to see the prescriber. The client has been taking levothyroxine (Levothroid), 100mcg per day. The client tells the nurse that they feel anxious, that they arehaving trouble sleeping, and that they have lost 10 pounds. Which diagnosis does the nurse anticipate the client to have?
 
  1. Addison Disease
  2. Hyperthyroidism
  3. Hyperparathyroidism
  4. Anxiety

[kishoreddi]

Answer to Question 1

2

Rationale 1:Thyroid agents would be used for hypothyroid conditions.
Rationale 2:Antithyroid agents would be used for hyperthyroid conditions.
Rationale 3:Corticosteroids are used for Addison disease.
Rationale 4:Hormone replacement is not used for hyperthyroidism.

Global Rationale: Hyperthyroidism is the over secretion of the either TSH or thyroid hormone. Antithyroid agents, surgery, or ionizing radiation to kill or inactivate some of the hyperactive thyroid cells.

Answer to Question 2

2

Rationale 1: Addison disease is the hyposecretion of corticosteroids.
Rationale 2: Adverse effects of levothyroxine (Levothroid) resemble symptoms of hyperthyroidism. These include anxiety, insomnia, and weight loss.
Rationale 3: Hyperparathyroidism is hypersecretion of the parathyroid hormone and not use of levothyroxine.
Rationale 4:Anxiety is one adverse effect associated with levothyroxine.

Global Rationale: The difference between a therapeutic dose of levothyroxine and one that produces adverse effects is quite narrow. Adverse effects of levothyroxine resemble symptoms of hyperthyroidism and include tachycardia, anxiety, tremors, insomnia, weight loss, and heat intolerance. Menstrual irregularities may occur in women. A laboratory test is necessary, and the dose may need to be lowered.

[Awilson837]

Both answers were spot on, thank you once again

[kishoreddi]

Great! Please up vote