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1. A patient has been taking thyroid drugs for about 16 months and has recently noted palpitations and some heat intolerance.
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Answer #1

Answer :

  • Nurse should advice for laboratory examination for thyroid hormone levels in blood
  • If the patient takes more thyroid hormone than required amount may lead to palpitations and heat intolerence
  • If the patient having high thyroid hormone in the blood may lead to palpitations and heat intolerence .
  • So nurse should advice the patient to decrease patient thyroid tablet dose gradually .

2) answer :

  • When a women is pregnant ,her body needs enough thyroid hormone to support a developing fetus and her own expanded metabolic needs .
  • Most women who develop hypothyroidism during pregnancy have mild disease and may experience only mild to no symptoms ,if it is undiagnosed may lead to complications .
  • Most common complications include premature birth, preeclampsia , miscarriage ,post partum hemorrhage ,anemia and abruptio placenta.
  • If the pregnant mother is having hypothyroidism ,she should check her thyroid levels every 6 weeks .
  • Physician should counsil the mother to take thyroid hormone pills at least one half hour to one hour before or at least four hours after eating or taking iron and calcium supplements ,which can interfere with absorption of thyroid hormone .
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