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Hypothyroidism Medical Management (THRT)
- Levothyroxine-synthroid causes pituitary secretion of TSH
- Monitor for drug interactions (Digitalis, ferrous sulfate, anticoagulants-increase the effects)
- Take in the morning, byself, 1hr before anything else with absolutely NO FOOD
- Complications with THRT: increased blood sugar glucose, osteoporosis with long-term treatment
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Hyperthyroidism Medical Management
- Antithyroid agents (PTU, Methimazole, sodium iodine, potassium iodine, SKI, Deamethasone, Beta-Blockers0
- Reactions to Lithium, Warafin, Digoxin, Theophyilline
- Increases risk of Infection, Agranulocytosis, Hypothyroidism, Thyroid Storm
- Must D/C decongestants
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Hyperparathyroidism-Medical Management
- Daily fluid intake of > 3000 ml to avoid renal calculi formation (maybe cranberry juice)
- Increase mobility to prevent bone from loosing calcium
- Antacids in person with PUD
- Avoid constipation through diet and fluids
- Hypercalcemic Crisis- Calcitonin
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Hypoparathryoidism-Medical Management
- Increaed calcium intake
- Pharmacological Management
- -Calcium gluconate
- -Aluminum Hydroxide
- -Vitamin D
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