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Author Question: A patient is admitted to the hospital to treat hypothyroidism. For rapid improvement in symptoms, ... (Read 86 times)

gonzo233

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on: Jul 23, 2018
A patient is admitted to the hospital to treat hypothyroidism. For rapid improvement in symptoms, the nurse will expect to administer which medication?
 
  a. Levothyroxine sodium (Synthroid)
  b. Liothyronine (Cytomel)
  c. Liotrix (Thyrolar)
  d. Thyroid desiccated (Armour Thyroid)

Question 2

A patient who takes warfarin (Coumadin) and digoxin (Lanoxin) develops hypothyroidism and will begin taking levothyroxine (Synthroid). The nurse anticipates which potential adjustments in dosing for this patient?
 
  a. Decreased digoxin and decreased warfarin
  b. Decreased digoxin and increased warfarin
  c. Increased digoxin and decreased warfarin
  d. Increased digoxin and increased warfarin


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SomethingSomething

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

ANS: B
Liothyronine has a short half-life and rapid onset of action and is not recommended for maintenance therapy but is used as initial therapy for severe myxedema. Levothyroxine is the drug of choice for replacement therapy. Liotrix is a second-line drug. Thyroid desiccated is used for hypothyroidism to reduce goiter size.

Answer to Question 2

ANS: C
Thyroid preparations increase the effect of oral anticoagulants, so the warfarin dose may need to be decreased. Levothyroxine can decrease the effectiveness of digoxin, so this dose may need to be increased.


gonzo233

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Reply #2 on: Jul 23, 2018
Thanks


SomethingSomething

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Reply #3 on: Jul 23, 2018
Welcome :)


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