« previous next »

Author Question: A patient is undergoing thyroid replacement therapy with levothyroxine (Levothroid). At what time ... (Read 53 times)

geodog55

  • Hero Member
  • *****
  • Posts: 530
on: Jul 23, 2018
A patient is undergoing thyroid replacement therapy with levothyroxine (Levothroid). At what time should the health care provider instruct the patient to take this drug?
 
  a. Immediately after breakfast or lunch
  b. Before breakfast on an empty stomach
  c. With the last meal of the day
  d. At bedtime on an empty stomach

Question 2

Which serious adverse effects of propylthiouracil (PTU) would have to be reported to the health care provider immediately?
 
  a. Increased urine output and thirst
  b. Dizziness and hallucinations
  c. Sore throat and fever
  d. Abdominal pain and constipation


Dominic

  • Sr. Member
  • ****
  • Posts: 328
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Teach patients to take levothyroxine exactly as directed, on an empty stomach, and at the same time each day. Administration before breakfast is usually best.

Answer to Question 2

ANS: C
Agranulocytosis is the most feared adverse reaction, although it occurs in 0.2 of patients. It usually develops within 90 days of starting therapy and is characterized by high fever, bacterial pharyngitis (sore throat), and an absolute granulocyte count below 250/mm3. These signs should be reported at once.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

geodog55

  • Hero Member
  • *****
  • Posts: 530
Reply #2 on: Jul 23, 2018
Thanks


Dominic

  • Sr. Member
  • ****
  • Posts: 328
Reply #3 on: Jul 23, 2018
Welcome :)


« previous next »
 

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

Did you know?

Thyroid conditions cause a higher risk of fibromyalgia and chronic fatigue syndrome.

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

The reminder card should be completed and handed to the patient after the appointment is scheduled. The reminder card should be completed and handed to the patient after the appointment is scheduled.
A patient undergoing hemodialysis. A patient undergoing hemodialysis.
Disitive Time For Vegetables Disitive Time For Vegetables
Disitive Time For Potatoes Disitive Time For Potatoes
Thyroid Gland Thyroid Gland
The frequency of aneuploidy changes dramatically over developmental time. Between 6 to 8 weeks and 2 The frequency of aneuploidy changes dramatically over developmental time. Between 6 to 8 weeks and 2
Video: Humerus Adduction Animation

For a complete list of videos, visit our video library