Term Definition
Levothyroxine Thyroid medications.
Lisinopril Classes Func: Anti-hypertensive, ACE inhibitor angiotension converting enzyme 1
Chem:Enalaprilat lysine analog
Lisinopril Actions Selectively suppresses renin-angiotension-aldosterone system: inhibits ACE,
Lisinopril Uses Mild – mod hypertension, acute MI, adjunctive therapy to systolic CHF
Lisinopril Dosage PO 10-40mg a day, 80mg max
Lisinopril Side Effects Vertigo, HA, fatigue, dizziness, hypotension, hyperkalmia
Lisinopril Nursing Assessment/Interventions Platelets, WBC, Renal studies, Q4 hr BP, evaluate therapeutic response to meds.
Lisinopril teaching Watch for swelling face, throat, do not quit suddenly, be slow to rise,
Lisinopril Interactions Possible toxicity with Lithium: Hyperkalmia, Hypotensive effect with diuretics
Levothyroxine Classes Funct: Thyroid hormone
Chem: Levoisomer of Thyroxine
levothyroxine Action Increase met rate; controls protein synthesis: inc cardiac output, renal flow; O2 consumption, body temp, blood vol, growth,
Levothyroxine Uses Hypothyroidism, myxedema coma, hormone replacement, thyrotoxicosis, thyroid CA, Pit TSH supression
Levothyroxine Contraindications Adrenal Insuff, recent MI, thyrotoxicosis, hypersenitivity to beef, alcohol intolerance
Levothyroxine Dosages Powder for injection, Tabs, cap liquid filled, IV
Regular PO dosage is 100-200mcg a day IV is 50% of PO dose
Levothyroxine nurse assessment/interventions BP, WT, HT, T3, T4, TSH, pt may have increased nervousness, irritability, cardiac status: palpitations, chest pain EVALUATE: bowel movement, wt loss, depression, peripheral edema, cold intolerance, dry brittle nails,
Levothyroxine PT education May lose hair, report anxiety, do not switch brands, do not take products with iodine, effects may take 6 wks,
Levothyroxine side effects anxiety, insomnia, tremors, tachycardia, palpitations, angina, dysrhythmias, CARDIAC ARREST< THYROID STORM
Levothyroxine interactions
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