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What is the nursing consideration about thyroid drugs?


What is the nursing consideration about thyroid drugs?

Nursing Considerations When administering thyroid replacement medications, the nurse should plan to monitor TSH levels before and during therapy for effectiveness. Drug interactions may occur with several other medications, so review drug labeling information carefully before administering.

What are the nursing considerations for levothyroxine?

Nursing considerations Levothyroxine should be taken on an empty stomach with water, at least 1 hour before eating. Even coffee has been shown to interfere with the absorption of T4. And levothyroxine is incompatible with many other medications, so it should be taken alone.

What should you assess before giving Synthroid?

Administer SYNTHROID at least 4 hours prior to these drugs or monitor TSH levels. Gastric acidity is an essential requirement for adequate absorption of levothyroxine. Sucralfate, antacids and proton pump inhibitors may cause hypochlorhydria, affect intragastric pH, and reduce levothyroxine absorption.

What can you teach a patient with hypothyroidism?


  • Take your medicine the same time every day.
  • Keep your pills in a container that is labeled with the days of the week.
  • Take your medicine with a full glass of water.
  • Do not take calcium or iron within 4 hours of taking your thyroid medicine.
  • Continue to take your medicine if you become pregnant.

How long does Protonix last in your system?

Pantoprazole is extensively metabolized in the liver through the cytochrome P-450 system, predominantly by CYP2C19 demethylation with subsequent sulfation and has a serum elimination half-life of about 1.1 hours.

What are the nursing considerations of levothyroxine ( Levothroid )?

What are the Nursing Considerations of Levothyroxine (Levothroid) Nursing Pharmacology Considerations? assess pulse and monitor for tachyarrythmias and chest pain. monitor TSH levels.

What are the nursing considerations of pantoprazole ( Protonix )?

What are the Nursing Considerations of Pantoprazole (Protonix )? Can cause hyperglycemia, abdominal pain. Decreases absorption of certain drugs. May increase bleeding with warfarin. Assess for occult blood.

Can you take levothyroxine and Protonix at the same time?

No. You should not take anything with levothyroxine. You should wait half an hr before you eat or take other meds. Space them 30 minutes, levothyroxine should be taken with a glass of water and by its self.

When to switch from Po to Protonix IV?

80 mg IV infusion q8-12hr up to 7 days; switch to PO once patient able to swallow Severe dermatologic reactions (some fatal), including erythema multiforme, Stevens-Johnson syndrome, and toxic epidermal necrolysis (some fatal), as well as angioedema (Quincke edema) Hypersensitivity to pantoprazole or other proton pump inhibitors (PPIs)