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Author Question: A patient is prescribed levothyroxine 25 mcg by IV push. The drug on hand is levothyroxine sodium ... (Read 129 times)

Davideckstein7

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on: Jul 23, 2018
A patient is prescribed levothyroxine 25 mcg by IV push. The drug on hand is levothyroxine sodium 100 mcg/mL. How many milliliters does the nurse administer?
 
  a. 2.5
  b. 1
  c. 0.5
  d. 0.25

Question 2

Which assessment is most important for the nurse to perform before giving a patient who is prescribed levothyroxine (Synthroid) the first dose of the drug?
 
  a. Measuring heart rate and rhythm
  b. Determining level of consciousness
  c. Asking about an allergy to sulfa drugs
  d. Checking intake and output for the last 24 hours


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scrocafella

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Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Want 25 mcg per /X mL, Have 100 mcg per 1 mL; 25/100 = 0.25  1 mL = 0.25 mL.

Answer to Question 2

A
The side effects and adverse effects of thyroid hormone replacement drugs increase metabolic rate and cardiac activity. Checking heart rate and rhythm before giving the drug provides a base-line to determine whether or not the drug is working correctly or is causing an overdose effect.


Davideckstein7

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


scrocafella

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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