| Drug and Dosage | Use | Action | Assessment: Side Effects |
|---|---|---|---|
| Levothyroxine (Levothroid, Synthroid)—PO 0.05–0.10 mg/day; IV 200–500 mcg | Hypothyroidism Myxedema coma | Replacement therapy to alleviate symptoms Emergency replacement therapy | Symptoms of hyperthyroidism |
 NURSING IMPLICATIONS: Teach signs and symptoms of hyperthyroidism, hypothyroidism; monitor bowel activity; teach diet to combat constipation; keep medication in tight light-proof container; avoid foods that inhibit thyroid secretion (turnips, cabbage, carrots, peaches, peas, strawberries, spinach, radishes) | |||
| Liothyronine (Cytomel)—PO 25 mcg/day to maintenance dose 25–75 mcg | Mild hypothyroidism in adults | Replacement therapy | See Levothyroxine |
| NURSING IMPLICATIONS: See Levothyroxine | |||