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Hypothyroidism Essay

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Hypothyroidism Essay
Hypothyroidism Normally, the thyroid-stimulating hormone (TSH) is produced when the hypothalamus excretes thyrotropin-releasing hormone (TRH). The secretion of TRH triggers the pituitary gland to release TSH. TSH then activates a release of triiodothyronine (T3) and thyroxine (T4), controlling the body’s metabolism. When T3 and T4 levels rise, the secretion of TRH and TSH decrease. When thyroid hormone levels decline, there is an increase in TRH and TSH secretion (Buttaro, Trybulski, Bailey, & Sandberg-Cook, 2011). Hypothyroidism is primarily diagnosed by thyroid-stimulating hormone (TSH) assays. If TSH levels are increased, it is recommended to measure free thyroxine (T4) or the free thyroxine index (FTI), which reflects the free hormone …show more content…
C.S. currently exhibits majority of symptoms associated with hypothyroidism including a fat pad, fatigue, loss of energy, weight gain, hair loss, brittle hair, cold intolerance, dry skin, and constipation (Buttaro et al., …show more content…
was prescribed Levothyroxine (Synthroid), a hormonal replacement due to dysfunction of her thyroid gland leading to insufficient levels of the thyroid hormone. Levothyroxine is an artificial form of the thyroid hormone, thyroxine (T4) that is made and released by the thyroid gland. Levothyroxine treats hypothyroidism by replacing deficient thyroid hormone. The prescribed Levothyroxine (Synthroid) dose is 75 mcg is appropriate for moderate hypothyroidism as she continues to exhibit signs while taking 50 mcg (Lexi-Comp, 2016). Serious side effects that should be discussed with the patients include tachycardia, hot flashes, insomnia, fever, changes in your menstrual periods, sweating, diarrhea, vomiting, fluctuations in weight, increased sweating, appetite changes, heat intolerance, nervousness, mood changes, or fatigue. The patient was directed to notify the provider if these symptoms arise, which may indicate the need for medication adjustment (Lexi-Comp, 2016). Drugs that should be avoided fours hours prior or following Levothyroxine (Synthroid) include antacids containing aluminum or magnesium, ferrous sulfate, cholestyramine, sucralfate, and calcium carbonate. C.S. is currently not taking any of these medications but should be considered for future treatments (Lexi-Comp,
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