pharmacologic management of thyroid and parathyroid diseasesnapaprn.org/docs/massow thyroid...
TRANSCRIPT
![Page 1: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/1.jpg)
Pharmacologic Management of Thyroid and Parathyroid
DiseaseMichele D. Massow FNP-BC
![Page 2: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/2.jpg)
The Thyroid
•Our body's thermostat
• Common causes of thyroid disease
•Who is affected by thyroid disease?
![Page 3: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/3.jpg)
Hypothyroidism
• Reversible Causes of Hypothyroidism
•Management
• Thyroxine replacement therapy
• Raised TSH Activity in Patients Receiving replacement Doses of T4
![Page 4: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/4.jpg)
Graves' Disease
• Antithyroid Drugs
• Radioactive Iodine Therapy
• Surgery
• Thyroid Eye Disease
![Page 5: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/5.jpg)
Nodular Thyroid DiseaseToxic Adenoma
Toxic Multinodular Goiter
• Suppressive Therapy
• RAI therapy
• Surgery
![Page 6: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/6.jpg)
Drug Induced Thyroid Disease
• Amiodarone Induced Thyrotoxicosis
• Lithium
• Interferon alfa
![Page 7: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/7.jpg)
Pregnancy and Thyroid Dysfuntion
•Hyperthyroidism
•Hypothyroidism
• Postpartum Thyroid Dysfunction
![Page 8: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/8.jpg)
Subclinical Thyroid Disease
• Subclinical hypothyroidism
• Subclinical hyperthyroidism
![Page 9: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/9.jpg)
ThyroiditisThyroid Hormone Resistance Syndromes
Non-thyroidal Illness Syndrome
![Page 10: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/10.jpg)
Current Pharmacological Options for the Management
of Primary Hyperparathyroidism
![Page 11: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/11.jpg)
Hyperparathyroidism
• Pathophysiology
• Symptoms and Organ Manifestations
• Indications of Medical Management
![Page 12: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/12.jpg)
Drugs for the Treatment of Hyperparathyroidism
• Antiresorptive Drugs
• SERMS
• Oral Contraceptives
• Estradiol
• Calcitonin
• Biphosphonates
![Page 13: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/13.jpg)
Other Approaches for Treating Hyperparathyroidism
• Regimens for Treating Hypercalcemia
• Drugs for Treating Complications of Hypercalcemia
![Page 14: Pharmacologic Management of Thyroid and Parathyroid Diseasesnapaprn.org/docs/Massow Thyroid 2015.pdf · of Thyroid and Parathyroid Disease Michele D. Massow FNP-BC. The Thyroid •](https://reader036.vdocuments.us/reader036/viewer/2022062317/5eab25b26d4f6f1e4d587d79/html5/thumbnails/14.jpg)