Final Exam) Study Guide: NR 565 Final Exam: ( NR 565 Week 5,6,7& 8)Guaranteed APlus : Updated Solution

A patient has just been prescribed levothyroxine; the NP puts in a lab order to check TSH levels in? (Ans- 6-8 weeks A patient comes into the clinic complaining of sore throat and fever. She has recently started Methimazole in the last 4 weeks. What does this suggest? (Ans- -Agranulocytosis -Labs to check: CBC LFTs A newly pregnant patient shows understanding of Hypothyroidism in pregnant women by stating? (Ans- 2. I know that if I do not take my medicine, it can cause permanent damage to my baby. 3. I will need to increase my dose of medicine for a short time. (Increased by 50% from weeks 4-8, back to normal by wk 16) What are some food/supp interactions that can occur with levothyroxine? (Ans- -Calcium -Iron -Magnesium -Vit C -Antacids -Take 30-60 mins before meals in the morning What labs would you order to help diagnose thyroid conditions? (Ans- -TSH -T3 -T4 -Anti TPO What is the role of Radioactive iodine and what is a possible adverse effect? (Ans- -Destruction of thyroid tissue -May need levothyroxine for life What adjunctive med can be used for hyperthyroidism? (Ans- -Beta-blockers (Mask symptoms of Hypoglycemia) -Non-radioactive iodine Once a patient reaches a euthyroid state, how often should the be tested? (Ans- -Once a year A patient has a TSH of .28 (Low), a free T4 of 3 (High), and a free T3 over 650 (Very High). What med should she be started on? (Ans- -Patient has Hyperthyroidism -Treatment for a thyroid storm is (to suppress hormone release): Potassium iodide Strong iodine solution Methimazole A patient receives his first lab results showing an A1C of 7.2%. What is the diagnosis?