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NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

levothyroxine Synthroid thyroid 0.125 mcg po 0600 daily
preparations

Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
1-3 wk unknown 1-3 wk N/A
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Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
Principal effect is increasing metabolic rate of body Contraindicated in:
tissues:
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Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
May ↓ response to beta blockers (Timoptic)
Nursing Process- Assessment
(Pre-administration assessment)
Assess apical pulse and blood pressure prior
to and periodically during therapy. Assess for
tachyarrhythmias and chest pain
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Lab value alterations caused by medicine
None known
Be sure to teach the patient the following about this
medication
Advise patients to take Levoxyl tablets with water. Levoxyl
tablets may rapidly swell and disintegrate resulting in
choking, gagging, the tablet getting stuck in the throat, and
difficulty swallowing. Taking with water usually prevents
this. Instruct patient to take medication as directed at the
same time each day. Take missed doses as soon as
remembered unless almost time for next dose. If more than
2-3 doses are missed, notify health care professional. Do not
discontinue without consulting health care professional.
Emphasize importance of follow-up exams to monitor
effectiveness of therapy. Thyroid function tests are
performed at least yearly. Caution patient not to change
brands of thyroid preparations, as this may affect drug
bioavailability. Caution patient to avoid taking other
medications concurrently with thyroid preparations unless
instructed by health care professional. Instruct patient to
inform health care professional of thyroid therapy.
Assessment Evaluation
Why would you hold or not give this Check after giving
med?
Resting pulse > 100
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