Question

What statement by a parent leads the nurse to determine a parent is administering levothyroxine (Synthroid) correctly?

a. I give my child the medication with meals.
b. I crush the tablet and mix it with applesauce.
c. I give the medication at the same time every morning on an empty stomach.
d. I double the dose if my child misses a day.

Answer 1

The correct administration of levothyroxine (Synthroid) is at the same time every morning on an empty stomach. The levels of replacement thyroid hormone must be carefully monitored, especially in cases of hypothyroidism, to ensure the proper management of the patient's metabolism.

Step-by-step explanation:

The correct way for a parent to administer levothyroxine (Synthroid) is to give the medication at the same time every morning on an empty stomach. This ensures that the medication is absorbed properly and that the levels of thyroid hormone in the bloodstream are consistent. Crushing the tablet and mixing it with applesauce is acceptable if the child cannot swallow tablets, but care must be taken not to crush time-released formulations unless directed by a physician.

In cases of hypothyroidism, such as Hashimoto's thyroiditis or after the removal of the thyroid gland, it's essential that the level of replacement thyroid hormone is monitored and adjusted if necessary because the wrong levels can adversely affect the patient's metabolism. An underactive thyroid slows down metabolism, while an overactive thyroid speeds it up. Hence, taking a double dose to make up for a missed day can lead to complications.