Propylthiouracil (PTU) PDF

PROYLTHIOURACIL ( PTU) \*used for graves disease (pre surgery) Monitor for hypo \* too much can cause hypo\* Liver function test is needed ( ALT/AST Does it work?? Yeah are the TSH and T4 levels good? METHIMAZOLE Hyperthyroid (graves disease) ( heat) A/E: hepatotoxic Agranulocytosis: s/s of...

PROYLTHIOURACIL ( PTU) \*used for graves disease (pre surgery) Monitor for hypo \* too much can cause hypo\* Liver function test is needed ( ALT/AST Does it work?? Yeah are the TSH and T4 levels good? METHIMAZOLE Hyperthyroid (graves disease) ( heat) A/E: hepatotoxic Agranulocytosis: s/s of infection CBC FEVER PALPIATION Monitor: TLC ( TSH , LFT CBC) TSH -- for the thyroid LFT- for the liver function CBC- for the infection Lugol's solution (non-radioactive) Thyroid storm Used to shrink thyroid before surgery \*Thyroid storm: high fever tachy agitation restless I131- radioactive potassium iodine Used to suppress thyroid activity - Stay away ! Cause: Hashimoto\'s : immune disorder most common Hypothyroidism : TSH stimulates the rease of T3 T4 Low T3T4 HIGH TSH Iodine plays. Key role in the synthesis of T3/T4 LEVOTHYRONINE Hypothyroidism ( cold) Take in the morning! **Ask them when they take it** DONOT TAKE FOR WEIGHTLOSS s/s for too much : Increase HR and Hot flashes **BBW: use of thyroid hormone in treat of weight loss or obesity is contraindicated** HYDROCORTISON- **Addison's disease (life threating) inflammation** **Asthma allergies cancer copd** **\* take as ordered not when symptoms are present** **A/E HTN** \*long term effects too much can turn into crushing\'s ( moon face and weight gain ) -\> ketoconazole Steroid: increase risk of infection \* suppresses immune system\* report low grade fever Teaching: maintain calcium report infection do not stop abruptly COSYNTROPIN pg.681 \*Treats adrenocortical insufficient\* Resembles ACT\* and used to diagnosis cause of insufficiency Addison disease \* most common cause is stop corticosteroid without tappering OCTEOTIDE- acromegaly Too much growth hormone Ketoconazole -\>antifungal to decrease steroid levels in the body - Cushing disease: causes elevated BP DM MEDS DESMOPRESSIN ( hormone regulates water balance in body ) Insipidus DM How to administer SQ steps  Prepare injection as instructed  Wash site with soap and water or alcohol wipe  Pinch site slightly between fingers  Inject needle into skin and dispel med  Remove needle and discard in puncture proof container **A/E: water intoxication- manage fluid status: drowsiness HA COMA** \*can be nasal watch for nose bleeds Effectiveness: Monitor BP NA and decrease urine output Monitor BP and fluid intake - Can cause it can cause fluid retention DM A1C: Glucose over the last 6-12 weeks \>6.5% indicates DM DM patients want \