This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 1-year-old child with cretinism has been receiving 8 mcg/kg/day of levothyroxine (Synthroid). The ... (Read 64 times)

joesmith1212

  • Hero Member
  • *****
  • Posts: 549
on: Jul 23, 2018
A 1-year-old child with cretinism has been receiving 8 mcg/kg/day of levothyroxine (Synthroid). The child comes to the clinic for a well-child check up. The nurse will expect the provider to:
 
  a. change the dose of levothyroxine to 6 mcg/kg/day.
  b. discontinue the drug if the child's physical and mental development is normal.
  c. increase the dose to accommodate the child's increased growth.
  d. stop the drug for 4 weeks and check the child's TSH level.

Question 2

An older adult patient is diagnosed with hypothyroidism. The initial free T4 level is 0.5 mg/dL, and the TSH level is 8 microunits/mL. The prescriber orders levothyroxine (Levothroid) 100 mcg/day PO. What will the nurse do?
 
  a. Administer the medication as ordered.
  b. Contact the provider to discuss giving the levothyroxine IV.
  c. Request an order to give desiccated thyroid (Armour Thyroid).
  d. Suggest that the provider lower the dose.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

frankwu0507

  • Sr. Member
  • ****
  • Posts: 322
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
In the treatment of cretinism, thyroid dosing decreases with age. For infants 6 to 12 months of age, the dose is 6 mcg/kg/day. At 1 year of age, the dose is reduced to 5 to 6 mcg/kg/day. For all children, treatment should continue for 3 years. It is incorrect to increase the dose with age. After 3 years of therapy, the patient undergoes a trial of 4 weeks without the drug, followed by assessment of the TSH and T4 levels, to determine whether the drug may be discontinued.

Answer to Question 2

ANS: D
In older adult patients, initial dosing of levothyroxine should start low and be increased gradually. A typical starting dose for an elderly patient is 25 to 50 mcg/day. It is not correct to administer the medication without questioning the provider. Unless the patient has signs of myxedema, there is no need to give the medication IV. Desiccated thyroid is no longer used except in patients who have been taking it long term.


joesmith1212

  • Member
  • Posts: 549
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

nguyenhoanhat

  • Member
  • Posts: 332
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Signs and symptoms of a drug overdose include losing consciousness, fever or sweating, breathing problems, abnormal pulse, and changes in skin color.

Did you know?

A headache when you wake up in the morning is indicative of sinusitis. Other symptoms of sinusitis can include fever, weakness, tiredness, a cough that may be more severe at night, and a runny nose or nasal congestion.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Because the leg muscles of children with muscular dystrophy are weak, they must perform the Gowers’ Because the leg muscles of children with muscular dystrophy are weak, they must perform the Gowers’
To examine a child’s ear, the pinna should be pulled back and up for children over 3 years; the pinn To examine a child’s ear, the pinna should be pulled back and up for children over 3 years; the pinn
Child Labor Rates and GDP Worldwide Child Labor Rates and GDP Worldwide
Providing structure and organization in the child’s environment may aid the development of ... Providing structure and organization in the child’s environment may aid the development of ...
Developing Child, The Developing Child, The
Kindergarten school year book Kindergarten school year book
Video: Sigmoidoscopy

For a complete list of videos, visit our video library