Author Question: The NP orders a thyroid panel for a patient on amiodarone. The patient tells the NP that he does not ... (Read 24 times)

KimWrice · **on:** Jul 24, 2018

The NP orders a thyroid panel for a patient on amiodarone. The patient tells the NP that he does not have thyroid disease and wants to know why the test is ordered. Which is a correct response?

1. Amiodarone inhibits an enzyme that is important in making thyroid hormone and can cause hypothyroidism.
2. Amiodarone damages the thyroid gland and can result in inflammation of that gland, causing hyperthyroidism.
3. Amiodarone is a broad spectrum drug with many adverse effects. Many different tests need to be done before it is given.
4. Amiodarone can cause corneal deposits in up to 25 of patients.

Question 2

Isosorbide dinitrate is prescribed for a patient with chronic stable angina. This drug is administered twice daily, but the schedule is 7 a.m. and 2 p.m. because:

1. It is a long-acting drug with potential for toxicity.
2. Nitrate tolerance can develop.
3. Orthostatic hypotension is a common adverse effect.
4. It must be taken with milk or food.