Bexis Assignment 5 5

Description: Answer the questions for the case study. Thyroid Case: M. E. is a 29-year-old woman with a 7-month history of heavy, irregular menses, a 5-lb weight
gain, constipation, and decreased energy. Her past history is unremarkable. She takes no prescription medications but uses iron and calcium
supplements. She has a family history of thyroid disease. On examination, her weight is 152 lbs, her heart rate is 64 bpm, and her blood pressure is
138/86. Her thyroid gland is mildly enlarged, without nodularity. She has trace edema in her lower extremities, and her reflexes are slow. Laboratory
studies are as follows: TSH is 15.3 mIU/mL (elevated), free T4 is 0.3 mIU/mL (decreased), total cholesterol is 276 mg/mL. DIAGNOSIS: PRIMARY
HYPOTHYROIDISM 1. List the specific goals of therapy for M. E. 2. What drug therapy would you prescribe and at what dose? 3. What are the parameters
for monitoring the success of M. E.és therapy? 4. Discuss specific patient education for therapy for hypothyroidism. 5. List one or two adverse reactions
for the prescribed therapy that would cause you to change the drug or dose. 6. What would be the choice for second-line therapy? 7. What, if any,
over-the-counter or complementary and alternative medicine would be appropriate for M. E.? 8. What dietary and lifestyle changes would be
recommended for M. E.? 9. Describe one or two drugédrug or drugéfood interactions for the selected treatment.