A patient has thyroid storm. The nurse is providing medication instruction for home. The patient asks "If I have a fever, should I take Tylenol or aspirin?" The best response for the nurse would be
a. "Either one is fine because they do not affect the antithyroid medication."
b. "Tylenol rather than aspirin because aspirin increases the amount of free thyroid hormone in circulation."
c. "Aspirin rather than Tylenol because Tylenol increases the amount of free thyroid hormone in circulation."
d. "They both prevent the antithyroid medication from working correctly. I would recommend an NSAID."
B
For management or elevated temperature, patients are instructed to use acetaminophen rather than salicylates because salicylates increase the amount of free thyroid hormone in circulation.
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