Question

PHARMACOLOGY

ANSWER ALL QUESTIONS INDIVIDUALLY.

5 questions total. I’ll rate it.

thank you.

Ms. Marge Dursley, known to many as Aunt Marge, came in to the clinic to see Dr. Granger complaining of coldness, fatigue, mental slowness, and a weight gain of 25 pounds in the past year. After completing a physical and ordering some lab tests, Dr. Granger diagnosed Aunt Marge as having hypothyroid ism and will be prescribing thyroid replacement hormones. Please make sure your include your NAME, CLASS, and DATE at the top of all of your submissions. Please answer all questions individually and in paragraph form. 1. What signs and symptoms does Aunt Marge need to be aware may occur if she receives to0 much thyroid hormone replacement? 2. Dr. Granger has ordered that Aunt Marge is to receive 0.15 mg of Synthroid orally on a daily basis. If this label is the Synthroid available in stock, how many tablets should Aunt Marge take daily? NDC 0048-1040-03 NSN 6505-01-156-1807 Code 3P1043 See full prescribing information for dosage and administration SYNTHROID Dispense in a ight. (Levothyroxine Sodium light-resistant container Tablets, USP) adestribed in USP. Slore a controlled FOom temperature. 15°-30°C (59°-86°F (0.05 mg) 50 mcg 100 TABLETS Boots 048-1040-03 6

Answer 1

1.The signs and symptoms if the patient receives too much thyroid hormone replacement are

• CNS:anxiousness, headache,nervous
• GIT: Diarrhea, vomiting
• Musculoskeletal:tremor ,muscle weakness
• CVS: Tachycardia ,chest pain
• General: insomnia ,diaphoresis, heat intolerance

2.Given

Order:Synthroid

Dose:0.15mg

Available:0.05 mg/tablet

If 1 tablet =0.05mg

Then 0.15mg=?tablet

Cross multiply and divide

=0.15×1÷0.05

=0.15÷0.05

=3

Ans:3 tablets

3.Synthroid 0.15mg

Patient name:Marg Dursley

Rx:Synthroid 0.15mg#30 (#30 means 30 tablet to be issued )

Sig:i po od ( 1 pill to be taken orally once a day in the morning)

Refills:12 (12 refills has to be done)

Dr.Hermione Granger

The pharmacist will provide Levothyroxine sodium tablets

4.The thyroid medication are to be strictly taken in the morning before the first meal of the day .The absorption can take place efficiently in the empty stomach.If taken in the night time food can interact in absorption and can make patient feel uncomfortable and disturbed sleep in night time.

5.The patient has to be health educated on its indication and usage and when and how this medication are stopped .If the patient thyroid profile falls within normal limits then the provider may discontinue the medication but it totally depends in the investigations results of thyroid function test.