Question

Jean Fields is a 72-year-old client who has been diagnosed with hyperthyroidism due to Graves’ disease. Her husband of 52 years died of lung cancer 2 weeks ago, and she has been dealing with extreme emotional upset and grief. She has been admitted to the hospital with fatigue, weakness, fever, tachycardia, and dehydration.

3. Ms. Fields is prescribed propranolol in addition to the PTU. She asks why two different drugs are necessary. How should the nurse respond?

Answer 1

In this scenario mrs jeans is admitted in hospital with clinical manifestation of thyrotoxic crisis.the clinical manifestation of thyrotoxic crisis are mentioned above.ie fever,tachycardia,fatigue and dehydration

PTU(propylthiouracil) is a drug of choice in hyperthyroidism..Especially in graves disease and thyrotoxic crisis.

Propranolol is a beta blocking agent used in hyperthyroidism.it is effective in thyrotoxic crisis to control of symptoms.in this condition combination of PTU and propranalol are effective in control the symptoms of thyrotoxic crisis.so these drugs are neccessary for rapid recovery