What adverse effects should a client on thyroid replacement hormone report promptly?

Tachycardia and chest pain are significant adverse effects that a client on thyroid replacement hormone should report promptly because they may indicate potential complications related to the medication or underlying cardiovascular issues. Thyroid hormones can increase metabolic activity, leading to an increased heart rate (tachycardia) and elevated blood pressure. These symptoms can also be indicative of thyroid toxicity, particularly if the dosage is too high. Chest pain could suggest further cardiovascular stress or complications, such as angina or arrhythmias, which require immediate medical attention. Recognizing and addressing these symptoms early is crucial to prevent more serious health consequences.

In contrast, symptoms like dry skin and intolerance to cold often point to hypothyroidism rather than being direct adverse effects of thyroid hormone replacement therapy. Similarly, weight gain and increased appetite could signify inadequate dosing or other unrelated issues rather than immediate adverse effects. Lastly, tinnitus and dizziness, while concerning, do not typically relate directly to thyroid medication at the same level of urgency as cardiovascular symptoms do.