NR565 Final Exam: Weeks 5-8
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AP 2 Endocrine/Blood LECTURE Membranes Flash cards chapter 7
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Terms in this set (41)
What labs are used to diagnose TSH (0.3-6), Free T3 (230-620), total T3 (80-220),Total T4(4.5-12.5), &
Thyroid disease? Free T4(0.9-2) *TSH & T4 preferred*
What is the timeframe for re-check Check TSH 6-8 weeks after initiating therapy and afterdosage changes.
of labs after starting levothyroxine? Check TSH at least once a year afterserum TSH is stabilized.
Pale, puffy, expressionless face, cold, dry skin, brittle hair, hair loss,
What are the signs and symptoms
heart rate and temp low, lethargy, fatigue, constipation, weight gain,
of hypothyroidism?
intolerance to cold. Menstruation impairment, thyroid enlargement.
Heartbeat rapid and strong, dysrhythmias, angina, CNS stimulation-
nervousness, insomnia, rapid thought process, rapid speech, skeletal
What are the signs and symptoms
muscles weaken and atrophy, metabolic rate raised, increased heat
of hyperthyroidism?
production, increased body temp, intolerance to heat, skin is warm and
moist, appetite is increased, weight loss, exophthalmos.
What are the Histamine 2 (H2) receptor blockers, PPI, Sucralfate, Cholestyramine,
Drug/Food/Supplement Colestipol, Aluminum-containing antacids, Calcium supplements
interactions that reduce (Tums, Os-Cal), Iron supplements, Magnesium salts, and Orlistat
levothyroxine absorption?
, Dilantin, carbamazepine (Tegretol, Carbatrol), rifampin (Rifadin),
sertraline (Zoloft), and phenobarbital.
*To maintain adequate levothyroxine levels, patients may need to
increase their dosage*
What are the drugs that accelerate
levothyroxine metabolism?
*The effects of warfarin are enhanced, dosage may need to be
decreased. Also increases the risk for catecholamine-induced
dysrhythmias.*
*Can increase the requirements for insulin and digoxin.*
Treatment of thyroid storm- high doses of potassium iodide or strong
What is the treatment of thyroid iodine solution, methimazole suppresses hormone synthesis, Beta-
storm? blockers reduce heart rate, sedation, cooling, and giving
glucocorticoids and IV fluids also help.
Untreated hypothyroid in pregnancy- causes permanent
What are the results for a pregnant neuropsychological deficits in the child, congenital hypothyroidism,
woman treating hypothyroidism? decreased IQ (mainly occurs during the 1st trimester and increases up
to 50%).
What medication is given to treat Beta blockers to treat severe tachycardia.
symptoms of hyperthyroidism?
Etiology can be related to TSH is low, free T4 is high and T3 is normal
exogenous T4 ingestion, a
concurrent non-thyroidal illness, or
amiodarone-induced thyroid
dysfunction. What is the diagnostic
information the NP will receive?
Possibility of a TSH producing Serum TSH is normal or elevated, and free T4 & T3 are elevated.
pituitary tumor, which would need
to be evaluated further with MRI.
What is the diagnostic information
the NP will receive?
Primary hyperthyroidism. However, TSH is low, Free T4 is normal, and serum T3 is high.
other reasons for this thyroid
function test abnormality could be
exogenous T3 ingestion, or a
functioning adenoma.
FPG: greater than 126
How to confirm a diagnosis of
Random plasma glucose: greater 200 with symptoms of diabetes.
diabetes prior to beginning
OGTT: 2 hour plasma glucose greater than 200
treatment?
A1c: 6.5 or higher
What is the A1c general goal? Less than 7%
Leave the first rating
Save
Students also studied
AP 2 Endocrine/Blood LECTURE Membranes Flash cards chapter 7
122 terms 48 terms 37 terms
Orlando_Ramirez875 Preview woo_mee Preview cristinagil5672
Terms in this set (41)
What labs are used to diagnose TSH (0.3-6), Free T3 (230-620), total T3 (80-220),Total T4(4.5-12.5), &
Thyroid disease? Free T4(0.9-2) *TSH & T4 preferred*
What is the timeframe for re-check Check TSH 6-8 weeks after initiating therapy and afterdosage changes.
of labs after starting levothyroxine? Check TSH at least once a year afterserum TSH is stabilized.
Pale, puffy, expressionless face, cold, dry skin, brittle hair, hair loss,
What are the signs and symptoms
heart rate and temp low, lethargy, fatigue, constipation, weight gain,
of hypothyroidism?
intolerance to cold. Menstruation impairment, thyroid enlargement.
Heartbeat rapid and strong, dysrhythmias, angina, CNS stimulation-
nervousness, insomnia, rapid thought process, rapid speech, skeletal
What are the signs and symptoms
muscles weaken and atrophy, metabolic rate raised, increased heat
of hyperthyroidism?
production, increased body temp, intolerance to heat, skin is warm and
moist, appetite is increased, weight loss, exophthalmos.
What are the Histamine 2 (H2) receptor blockers, PPI, Sucralfate, Cholestyramine,
Drug/Food/Supplement Colestipol, Aluminum-containing antacids, Calcium supplements
interactions that reduce (Tums, Os-Cal), Iron supplements, Magnesium salts, and Orlistat
levothyroxine absorption?
, Dilantin, carbamazepine (Tegretol, Carbatrol), rifampin (Rifadin),
sertraline (Zoloft), and phenobarbital.
*To maintain adequate levothyroxine levels, patients may need to
increase their dosage*
What are the drugs that accelerate
levothyroxine metabolism?
*The effects of warfarin are enhanced, dosage may need to be
decreased. Also increases the risk for catecholamine-induced
dysrhythmias.*
*Can increase the requirements for insulin and digoxin.*
Treatment of thyroid storm- high doses of potassium iodide or strong
What is the treatment of thyroid iodine solution, methimazole suppresses hormone synthesis, Beta-
storm? blockers reduce heart rate, sedation, cooling, and giving
glucocorticoids and IV fluids also help.
Untreated hypothyroid in pregnancy- causes permanent
What are the results for a pregnant neuropsychological deficits in the child, congenital hypothyroidism,
woman treating hypothyroidism? decreased IQ (mainly occurs during the 1st trimester and increases up
to 50%).
What medication is given to treat Beta blockers to treat severe tachycardia.
symptoms of hyperthyroidism?
Etiology can be related to TSH is low, free T4 is high and T3 is normal
exogenous T4 ingestion, a
concurrent non-thyroidal illness, or
amiodarone-induced thyroid
dysfunction. What is the diagnostic
information the NP will receive?
Possibility of a TSH producing Serum TSH is normal or elevated, and free T4 & T3 are elevated.
pituitary tumor, which would need
to be evaluated further with MRI.
What is the diagnostic information
the NP will receive?
Primary hyperthyroidism. However, TSH is low, Free T4 is normal, and serum T3 is high.
other reasons for this thyroid
function test abnormality could be
exogenous T3 ingestion, or a
functioning adenoma.
FPG: greater than 126
How to confirm a diagnosis of
Random plasma glucose: greater 200 with symptoms of diabetes.
diabetes prior to beginning
OGTT: 2 hour plasma glucose greater than 200
treatment?
A1c: 6.5 or higher
What is the A1c general goal? Less than 7%
