What are the nursing considerations for levothyroxine?

Monitor response carefully at start of therapy, and adjust dosage. Full therapeutic effect may not be seen for several days. Ensure that patient swallows tablet with a full glass of water. Do not change brands of T4 products, due to possible bioequivalence problems.

What should you assess before giving levothyroxine?

Prior to administration: Obtain complete health history including allergies, drug history and possible drug interactions. Assess for presence/history of adrenocorticol insufficiency, hypercalcemia, inflammation, immunosuppression. Monitor renal function.

What should I monitor with levothyroxine?

Response to thyroxine (levothyroxine sodium) is best monitored biochemically. Thyroid function should be assessed every 6-8 weeks until the patient is euthyroid and then rechecked annunally, aiming to maintain T4 and TSH within the normal range (1).

What are nursing considerations for medications?

Start with the basics

  • Verify any medication order and make sure it’s complete. …
  • Check the patient’s medical record for an allergy or contraindication to the prescribed medication. …
  • Prepare medications for one patient at a time.
  • Educate patients about their medications. …
  • Follow the eight rights of medication administration.
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What patient education should be included when administering levothyroxine?

Levothyroxine oral works best if you take it on an empty stomach, 30 to 60 minutes before breakfast. Follow your doctor’s dosing instructions and try to take the medicine at the same time each day. Swallow the tablet or capsule whole, with a full glass (8 ounces) of water.

Is 50 mcg of levothyroxine a lot?

For patients over 50 years, initially, it is not advisable to exceed 50 micrograms daily. In this condition, the daily dose may be increased by 50 micrograms at intervals of every 3-4 weeks, until stable thyroxine levels are attained. The final daily dose may be up to 50 to 200 micrograms.

How do you know when your thyroid medicine needs adjusting?

General joint and muscle pains are common when hypothyroidism is not sufficiently treated, and your dosage of thyroid hormone needs to be increased. Joint and muscle weakness and pain, especially in the arms and legs, can be evidence that you need an increased dose of antithyroid drugs for your hyperthyroidism.

What are the most common side effects of levothyroxine?

Common side effects may include:

  • muscle weakness;
  • headache, leg cramps;
  • nervousness, trouble sleeping;
  • diarrhea; or.
  • skin rash, partial hair loss.


Will I lose weight if I increase my levothyroxine?

Stop weight gain

A daily dose of levothyroxine (Levothroid, Levoxyl, Synthroid) will rev up your thyroid hormone production again, and with it, your metabolism. Once you’re on the right dose, your weight should stabilize, and you shouldn’t have any more trouble losing weight than anyone else.

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What are the symptoms when your thyroid medication is too low?

There’s nothing better than feeling like your healthy, usual self after taking medication for your hypothyroidism. However, if you start noticing symptoms like anxiety, fuzzy memory, diarrhea, heart palpitations or excessive sweating, this may be a sign that your underactive thyroid is being overtreated.

What are the 4 basic rules for medication administration?

The “rights” of medication administration include right patient, right drug, right time, right route, and right dose. These rights are critical for nurses.

What are nursing interventions examples?

7 Nursing Interventions You Do Every Single Shift – Written by a Nurse!

  • Active listening. This is something that hopefully you will do with each and every patient. …
  • Prevent falls. …
  • Control pain. …
  • Cluster care. …
  • Turn every two hours / promote position changes. …
  • Promote adequate oral intake. …
  • Promote self-care.

What are the important considerations nurses need to be aware of when administering heparin?

Heparin requires close monitoring because of its narrow therapeutic index, increased risk for bleeding, and potential for heparin-induced thrombocytopenia (HIT). Monitoring includes thorough head-to-toe patient assessments for potential side effects, and laboratory monitoring.

What should I avoid while taking levothyroxine?

What foods should not be taken with levothyroxine?

  • Soybean flour.
  • Soy.
  • Walnuts.
  • Dietary fiber.
  • Cottonseed meal.
  • Espresso coffee.
  • Grapefruit.


What should you not take with levothyroxine?

Some medicines should not be taken at the same time of day as levothyroxine as they can reduce the amount of levothyroxine your body takes in, including:

  • antacids.
  • calcium salts.
  • iron salts.
  • orlistat, a medicine used for weight loss.
  • sucralfate, a medicine used to treat stomach ulcers.
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Is it better to take levothyroxine in the morning or at night?

Ideally, levothyroxine should be the only medication taken at bedtime. Just as with morning dosing, it is best to avoid co-administration with other medications such as statins, blood pressure drugs, and metformin.

Lots of iodine