NR 565 Final exam
Study online at https://quizlet.com/_fplnac
1. what 3 labs are used for diagnosing thyroid dx TSH
Free T4
Total 3
2. what is the time frame for rechecking labs after start- 6-8 weeks after initiation
ing synthroid or dose adjustment
3. signs and symptoms of hypothyroidism Fatigue, weight gain, cold
intolerance, dry skin, hair
loss, constipation.
4. signs sand symptoms of hyperthyroidism Weight loss
heat intolerance
anxiety
tremors
palpitations
increased appetite.
5. what medication treats thyroid storm beta blockers
anti thyroid drugs(methi-
mazole & PTU)
corticosteroids
fluids
6. what is the first line treatment for hyperthyroidism Methimazole
7. what happens when hypothyroidism is not treated increased risk of miscar-
during pregnancy riage
pre term birth
developmental delays in
child
, NR 565 Final exam
Study online at https://quizlet.com/_fplnac
8. what medication is used for treating hyperthyroid beta blocks; propranolol
symptoms for tachycardia & tremors
9. what food/drugs interact with synthroid Calcium and iron sup-
plements (reduce absorp-
tion).
Soy products (may inter-
fere with absorption).
Antacids & ppi (contain-
ing aluminum or magne-
sium).
coumadin & cathe-
cholmines
10. what thyroid medication can be taken in the 1st PTU (Propylthiouracil)
trimester of pregnancy
11. what thyroid treatment can be taken in 2nd & 3rd methimazole
trimester of pregnancy
12. what is a common side effect that warrants discontin- agranulocytosis
uation of thyroid drug
13. what drug is used to treat hypothyroidism in infants & Synthroid- its important to
why is it important to treat it treat early to prevent cog-
nitive impairment
14. how is synthroid administered its an oral drug that is tak-
en on an empty stomach
30-60 mins before break-
fast
15. what are the adverse effects of synthroid
, NR 565 Final exam
Study online at https://quizlet.com/_fplnac
tachycardia, weight loss &
anxiety
16. what lab is monitored when taking levothyroxine & TSH level should be
how often checked every 6-8 weeks
when initiating or adjust
dose and then done an-
nually
17. what is the MOA of Methimazole Inhibits thyroid hormone
synthesis by blocking the
oxidation of iodine.
18. what does an increase in TSH indicate thyroid production is LOW
19. what 3 test confirm diabetes diagnosis A1C e6.5%
Fasting Plasma Glucose
(FPG) e126 mg/dL
Oral Glucose Toler-
ance Test (OGTT) e200
mg/dLA1C
20. when should insulin be considered when A1C is >10% or if
there are symptoms of hy-
perglycemia
21. at what time interval should glucose labs be every 3 months until goal
rechecked is met and then every 6
months
22. how do you prevent diabetic nephropathy Medications: ACE in-
hibitors or ARBs
(renin-angiotensin system
Study online at https://quizlet.com/_fplnac
1. what 3 labs are used for diagnosing thyroid dx TSH
Free T4
Total 3
2. what is the time frame for rechecking labs after start- 6-8 weeks after initiation
ing synthroid or dose adjustment
3. signs and symptoms of hypothyroidism Fatigue, weight gain, cold
intolerance, dry skin, hair
loss, constipation.
4. signs sand symptoms of hyperthyroidism Weight loss
heat intolerance
anxiety
tremors
palpitations
increased appetite.
5. what medication treats thyroid storm beta blockers
anti thyroid drugs(methi-
mazole & PTU)
corticosteroids
fluids
6. what is the first line treatment for hyperthyroidism Methimazole
7. what happens when hypothyroidism is not treated increased risk of miscar-
during pregnancy riage
pre term birth
developmental delays in
child
, NR 565 Final exam
Study online at https://quizlet.com/_fplnac
8. what medication is used for treating hyperthyroid beta blocks; propranolol
symptoms for tachycardia & tremors
9. what food/drugs interact with synthroid Calcium and iron sup-
plements (reduce absorp-
tion).
Soy products (may inter-
fere with absorption).
Antacids & ppi (contain-
ing aluminum or magne-
sium).
coumadin & cathe-
cholmines
10. what thyroid medication can be taken in the 1st PTU (Propylthiouracil)
trimester of pregnancy
11. what thyroid treatment can be taken in 2nd & 3rd methimazole
trimester of pregnancy
12. what is a common side effect that warrants discontin- agranulocytosis
uation of thyroid drug
13. what drug is used to treat hypothyroidism in infants & Synthroid- its important to
why is it important to treat it treat early to prevent cog-
nitive impairment
14. how is synthroid administered its an oral drug that is tak-
en on an empty stomach
30-60 mins before break-
fast
15. what are the adverse effects of synthroid
, NR 565 Final exam
Study online at https://quizlet.com/_fplnac
tachycardia, weight loss &
anxiety
16. what lab is monitored when taking levothyroxine & TSH level should be
how often checked every 6-8 weeks
when initiating or adjust
dose and then done an-
nually
17. what is the MOA of Methimazole Inhibits thyroid hormone
synthesis by blocking the
oxidation of iodine.
18. what does an increase in TSH indicate thyroid production is LOW
19. what 3 test confirm diabetes diagnosis A1C e6.5%
Fasting Plasma Glucose
(FPG) e126 mg/dL
Oral Glucose Toler-
ance Test (OGTT) e200
mg/dLA1C
20. when should insulin be considered when A1C is >10% or if
there are symptoms of hy-
perglycemia
21. at what time interval should glucose labs be every 3 months until goal
rechecked is met and then every 6
months
22. how do you prevent diabetic nephropathy Medications: ACE in-
hibitors or ARBs
(renin-angiotensin system
