1 Show Atenolol, a β-Adrenergic blocker, is prescribed to control the stimulation of the sympathetic nervous system that often occurs with hyperthyroidism. Atenolol manages tachycardia, nervousness, irritability, and tremors. It is considered the drug of choice for treating a patient diagnosed with hyperthyroidism, asthma, and heart disease. Methimazole is used to treat hyperthyroidism; however, it is not the drug of choice for patients with concurrent diagnoses of asthma and heart disease. Lugol's solution is an antithyroid drug that is used in treatment of thyrotoxicosis. Propylthiouracil, although appropriate for the treatment of hyperthyroidism, is not the drug of choice for a patient with concurrent diagnoses of asthma and heart disease. 4 The patient with Addison's disease experiences hypofunctioning of the adrenal cortex, resulting in decreased production of glucocorticoids, mineral corticoids, and androgens. Patients with Addison's disease require lifelong glucocorticoid and mineral corticoid replacement therapy to avoid Addisonian crisis. Addisonian crisis is characterized by profound hypotension, dehydration, fever, tachycardia, hyponatremia, and hyperkalemia. Circulatory collapse may occur if the patient is treated inadequately. Although Addisonian crisis often is triggered by illness-related physiologic stress, and although avoiding infection is important, avoiding infection is of lower priority than managing lifelong corticosteroid replacement. Corticosteroid replacement must be increased during times of stress to prevent Addisonian crisis. Patients taking a mineralocorticoid should increase their salt intake. Emotional stress may contribute to the need for increased corticosteroid replacement. Stress management techniques are important. Practicing stress management techniques, however, is of lower priority than managing lifelong corticosteroid replacement. thinning of hair, red cheeks, acne, buffalo hump, moon face, supraclavicular fat pad, increased body/facial hair, weight gain, purple striae on pendulous abdomen, echymosis from easy bruising, thin extremities w/ muscle atrophy, thin skin/subcutaneous tissue, slow wound healing What are the signs of levothyroxine toxicity?Symptoms of overdose. Change in consciousness.. cold, clammy skin.. disorientation.. fast or weak pulse.. lightheadedness.. sudden headache.. sudden loss of coordination.. sudden slurring of speech.. What is a potential effect of taking too much levothyroxine?If the levothyroxine dose is too high, serious side effects can occur, mainly affecting the heart, and include (DailyMed, 2019): Irregular heartbeat (arrhythmia) High blood pressure. Heart failure.
What is the nursing implications 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 happens when you are overmedicated on levothyroxine?The brand-name levothyroxine drug Synthroid also lists as its "side effects" - essentially, the effect of taking too much of the medication - the following symptoms: Chest pain or shortness of breath. Muscle weakness. Vomiting.
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Which symptoms of drug toxicity would the nurse teach the patient who is taking levothyroxine
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