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Final Exam: NR565/ NR 565 Advanced Pharmacology Care of the Fundamentals Exam | Questions and Verified Answers (2024/ 2025 Update)- Chamberlain NR 565 Final Exam Study Guide$10.49
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Final Exam: NR565/ NR 565 Advanced Pharmacology Care of the Fundamentals Exam | Questions and Verified Answers (2024/ 2025 Update)- Chamberlain NR 565 Final Exam Study Guide
Final Exam: NR565/ NR 565 Advanced Pharmacology Care of the Fundamentals Exam | Questions and Verified Answers (2024/ 2025 Update)- Chamberlain
NR 565 Final Exam Study Guide
Final Exam: NR565/ NR 565 Advanced
Pharmacology Care of the Fundamentals Exam |
Questions and Verified Answers (2024/ 2025
Update)- Chamberlain
NR 565 Final Exam Study Guide
What labs are used to diagnose Thyroid? - ANSWER TSH, total
T4 and T3, free T4 and T3
Timeframe for re-check of labs after starting levothyroxine - ANSWER
6-8 wks after starting therapy
Signs and symptoms of hypothyroidism - ANSWER Face: Pale,
puffy, expressionless
Skin: Cold and dry
Hair: Brittle and hair loss
Heart rate and temp are lowered
,Complaints by patient: lethargy, fatigue, intolerance to cold
Mentation may be impaired
Thyroid enlargement if ↓'d levels of T3 and T4 promoting excessive release of TSH
Treatment of thyroid storm - ANSWER High dose potassium
iodide or strong iodine solution to suppress thyroid hormone release,
methimazole to suppress thyroid hormone synthesis,
beta blocker to reduce heart rate, sedation cooling glucocorticoids and IV fluids
Result of not treating hypothyroidism during pregnancy - ANSWER
permanent neurological defects, ↓'d IQ, large protruding tongue, potbelly
dwarfish stature, impaired development of nervous system bone teeth and
muscles.
Medication to treat symptoms of hyperthyroidism (notice this is treating
symptoms and not the hyperthyroidism itself) - ANSWER
Metoprolol could be used to treat tachycardia experienced with hyperthyroidism,
but it does not treat hyperthyroidism itself.
, Drug/Food/Supplement interactions with levothyroxine Absorption REDUCED by: -
ANSWER Histamine 2 receptor blockers (Cimetidine [Tagamet])
Proton pump inhibitors (Lansoprazole)
Sucralfate (Carafate)
Cholestyramine (Questran)
Colestipol (Colestid)
Aluminum containing antacids (maalox, mylanta)
Calcium supplements (tums, os-cal)
Iron supplements
Magnesium salts
Orlistat (Xenical)
* 4 hours between levothyroxine and the above meds is recommended and food
reduces absorption as well
How to confirm a diagnosis of DM prior to beginning treatment - ANSWER
Hemoglobin A1C > 6.5%,
Fasting plasma glucose ≧ 126 mg/dL, Random plasma glucose ≧200 mg/dL plus
symptoms of diabetes,
Oral glucose tolerance test (OGTT):
2-h plasma glucose ≧200 mg/dL
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