Pharm Exam 3

ncreases metabolic rate, protein synthesis, cardiac output, renal perfusion, oxygen use, body temperature, blood volume and growth processes ● Treatment of hypothyroidism ● Contraindications: ○ Use is contraindicated for patients with have thyrotoxicosis and adrenal insufficiency ○ Contraindication following a MI ○ Use cautiously in older adults and pt with diabetes ○ Preg. category 1 ● Dosing: ○ Begins with a low dose in the mornings that gradually increases over 6-8 weeks ○ Need to look at pharmacokinetics and how to get to a steady state ○ Overmedicating can result in hyperthyroidism and atrial fibrillation and an increased risk of fractures from bone loss. Hydrocortisone: mimics effect of natural steroid hormones ● Long acting: dexamethasone. Intermediate acting: prednisone ● Nursing implications: ○ These drugs are contraindication for patients with systemic fungal infections and for those receiving live virus vaccines ○ Use with caution in patients who had recent MI, gastric ulcer, hypertension, kidney disorder, osteoporosis, diabetes, hypothyroidism, glaucoma, seizure disorder or myasthenia gravis ● Adverse effects: ○ Depression, e