Levothyroxine; drug of choice for replacement therapy for the treatment of hypothyroidism
Levothyroxine
-Increases the levels of T3 and T4
-Also used to treat simple goiter and chronic lymphatic (Hashimoto) thyroiditis
ACTION
-Increases metabolism
CONTRAINDICATIONS
-Thyrotoxicosis, MI, severe renal disease
INTERACTIONS
-Increased cardiac of anticoagulants, vasopressors, decongestants
-Decreased effects of antidiabetics, digitalis
-Decreased absorption with cholestyramine, colestipol
SIDE EFFECTS
-Nervousness, insomnia, weight loss
-Tremors, headache
-N/V, diarrhea, cramps
-Tachycardia, palpitations, hypertension
-Angina, dysrhythmias
Before calling a physician you need to be sure to?
Get vital signs that way you can give the doctor the latest set of vital signs
Diabetes Mellitus
-Chronic disease of deficient glucose metabolism
-Insufficient insulin secretion from beta cells
-Impaired insulin use
-Two types; type 1, and type 2
What type of insulin can be given by IV?
Regular insulin
What drug is given for hypothyroidism if you are wanting a fast response?
Liothyronine
S/E of hypothyroid medications
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