Generic Name
Levothyroxine
Trade Name
Levothroid
Indication
Thyroid hormone replacement in hypothyroidism
Action
Replaces thyroid hormone, increasing metabolism, promotes gluconeogenesis,
stimulates protein synthesis, restores normal hormone balance and suppresses
thyroid cancer
Therapeutic Class
Hormone
Pharmacologic Class
Thyroid preparations
Nursing Considerations
• Assess pulse and monitor for tachyarrhythmias and chest pain
• Monitor TSH levels
• Overdose is presented as hyperthyroidism
• Start with low doses and increase as indicated
• Therapy is lifelong
• Take directly after breastfeeding
• Increases the effects of warfarin
Cornell Note-Taking System Instructions:
- Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.
- Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Also, the writing of questions sets up a perfect stage for exam-studying later.
- Recite: Cover the note-taking column with a sheet of paper. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.
- Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? What principle are they based on? How can I apply them? How do they fit in with what I already know? What’s beyond them?
- Review: Spend at least ten minutes every week reviewing all your previous notes. If you do, you’ll retain a great deal for current use, as well as, for the exam.
For more information, visit www.nursing.com/cornell
