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An 82-year-old patient in a long-term care facility has several medications prescribed. After the patient is newly diagnosed with hypothyroidism, the nurse will need to consult with the health care provider before administering

a. docusate (Colace).
b. ibuprofen (Motrin).
c. diazepam (Valium).
d. cefoxitin (Mefoxin).

User Nattster
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Final answer:

Monitoring levels of thyroid hormone replacement in patients with hypothyroidism is critical due to the role of thyroid hormones in regulating metabolism and the potential for interactions with other medications. The route of administration and changes in the aging body's drug processing necessitate careful oversight by healthcare providers, especially when new conditions such as hypothyroidism arise.

Step-by-step explanation:

The Importance of Monitoring Thyroid Hormone Levels in Hypothyroidism

When an individual is diagnosed with hypothyroidism, they are often prescribed thyroid hormone replacements such as levothyroxine. The level of replacement thyroid hormone must be carefully monitored and adjusted as needed. This is crucial because thyroid hormones like thyroxine regulate the body's metabolic processes. An imbalance can cause symptoms such as fatigue or weight gain, and in the elderly, it can exacerbate pre-existing conditions. Specifically, medication like docusate (Colace), which is a stool softener, may not require adjustment. However, drugs that are processed by the liver, such as ibuprofen (Motrin), diazepam (Valium), and cefoxitin (Mefoxin) could potentially interact with thyroid hormones and affect their metabolism, warranting careful review by healthcare providers.

Additionally, in the case of hypothyroidism treatment, it is necessary to regularly monitor the thyroid hormone levels because the body's requirement for hormones may change over time or due to other medical conditions. Some patients might need to continue thyroid medication for life, especially if the cause of their thyroid disorder doesn't resolve, such as with Hashimoto's thyroiditis.

Understanding the route of administration for various drugs is also important. Medications like ibuprofen, when taken regularly, could lead to unwanted effects such as inhibition of the body's normal inflammatory response, which is essential for fighting infections. Moreover, aging patients might experience changes in the way their body processes medications, which can influence treatment efficacy and safety.

User Jeremy
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