NR 565 Final Study Guide, NR 546 Study Guide, Advanced Pharmacology, Chamberlain Nursing

NR 565 Final Study Guide, NR 546


Terms in this set (458)



WEEK 5 ...

,Thyroid -TSH - used primarily for screening and diagnosing
o Diagnosis & Evaluation hypothyroid and for monitoring replacement therapy in
hypothyroid patients
What labs are used to diagnose?
-T4 - Used to monitor thyroid hormone replacement
therapy and to screen for thyroid dysfunction


-T3 - Useful in the diagnosis of hyperthyroidism; can
also be used to monitor hormone replacement therapy


-TSH low
-T4 normal
-T3 is high = hyperthyroidism

,Thyroid Recheck TSH 6-8 weeks after initiating therapy and
o Diagnosis & Evaluation after any dosage change; Check TSH at least once a
year after serum TSH is stabilized
Timeframe for re-check of labs after
starting levothyroxine?

, Thyroid Hypothyroidism: Depend on severity.
o Diagnosis & Evaluation o Mild: subtle and may go unrecognized
o Moderate to severe:
Signs and symptoms of -Face is pale, puffy, and expressionless.
hypothyroidism? -Skin cold and dry.
-Hair is brittle and hair loss occurs.
-Slowed Heart rate.
-Patient may complain of lethargy, fatigue, and
-Temperature is lowered & intolerant to cold.
-Thyroid Enlargement may occur if reduced levels of
T3
and T4
Mentation may be impaired.