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Obtain serum levels of thyroid-stimulating hormone (TSH), free
triiodothyronine
(T3), and free thyroxine (T4) - ANSWER-
radioactive iodine
radioactive iodine when to notify perscriber - ANSWER-
Symptoms of drug toxicity, include brassy taste, burning
sensations in the mouth, and soreness of gums and teeth. Drug
can also cause corrosive injury to the GI tract. Notify the
prescriber if severe abdominal distress develops.
methlyx - ANSWER-exs: aminophylline (somophylline) IV
drug, theophylline
(Theo-dur) oral
drug
methyx - ANSWER-Produces WEAK bronchodilation by
inhibiting the enzyme
phosphodiasterase which
deactivates cAMP
,short acting beta 2 - ANSWER-albuterol,
levalbuterol
always PRN
(STEP 1)
intermittent 2dor
less/wk
assess breath
sounds
long acting be - ANSWER-Salmeterol
Formoterol
Leukotriene receptor antagonists - ANSWER-
Montelukast
Zafirlukast
Mast cell stabilizers - ANSWER-Cromolyn
Corticosteroids inhaled - ANSWER-Anti-inflammatory, preferred
drugs for longterm asthma management. Oral doses may be
required for severe, persistent asthma
STEP 2, using SAbBA + 2days/wk, but not everyday
Xanthine Derivatives - ANSWER-Theophylline
Asthma Step 2 - ANSWER-Low-dose
ICS daily
SABA prn
, alternative
Chromolyn, LTRA, Neocronil or
theophyline
Asthma step 3 - ANSWER-SABA
prn low dose ICS + LABA
OR
Med ICS
using SABA
daily.
or
Referral
intermittent asthma - ANSWER-Symptoms less than 2
times/week and <2
nighttime
symptoms/month
Tx with SABA
*28 year old, used SABA 1/wk, not awakening at night, %
Predicted, >80%
History of intubation or ICU admission - ANSWER-high risk
of fatal asthma
attack
asthma difference in recognition 0-4 years - ANSWER-1-
2x/month night time