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Endocrine Drugs
| Question | Answer |
|---|---|
| Sandostatin | inhibit GH in acromegaly |
| Cortrosyn | stimulates secretion of cortisol for addison's disease |
| Addison's disease | body doesn't produce enough adrenal hormones specifically cortisol |
| Humatrope | promotes growth in children with delayed growth |
| Vasopressin | MAJOR VASOCONSTRICTOR (increase water absorption) Not enough ADH --> severe hypotension, shock and diabetes insipidus |
| What do you need to watch for with vasopressin? | water intoxication |
| Signs of water intoxication | chest pain, MI, high BP, abnormal cramps |
| When does diabetes insipidus occur? | after head injury |
| Pitocin | induces labor (promotes uterine contraction) |
| What do you need to watch for with pitocin? | uterine rupture |
| What are the three corticosteroids of the endocrine system? | solu-medrol, decagram, and decadron |
| What do the corticosteroids do? (solu-medrol, decadrom, decadron) | maintain homeostasis (anti-inflammatory, immunosuppressive, anti-allergic, anti-stress) |
| Adverse reaction of corticosteroids (solu-medrol, decadrom, decadron) | moon face, obese trunk with thin extremities, hyperglycemia (psychosis) paper thin skin, puffy |
| Synthroid | stimulate metabolism after hypothyroidism, myxedema coma |
| PTU | suppresses thyroid hormone for HYPERTHYROIDISM |
| Radioactive iodine | produces rays to destroy thyroid tissue for HYPERTHYROIDISM |
| graves disease | hyperthyroidism |
| Lugol's solution | inhibit release of thyroid hormone for HYPERTHYROIDISM |
| SSKI | HYPERTHYROIDISM |
| Calcium carbonate | Hypocalcemia -- osteoporosis |
| What determines calcium levels? | PTH |
| What therapy does a hypocalcemic patient need? | calcium replacement and Vit D |
| Calcium gluconate | hypocalcemia |
| Fosamax | stops breakdown of bone treating osteoporosis |
| Nursing implications for FOSAMAX | irritates the esophagus so sit up for 30 min after taking it! (YOU NEED TO FLOSS TO THE MAX... ALL THE WAY IN YOUR ESOPHAGUS... BITCH) |
| evista | osteoporosis (black box warning!!) |
| calcitonin | (nasal spray) osteoporosis |
| neutra-phos | increases calcium in bones... hypercalcemia |
| Humalog | type 1 diabetes (and some type 2) |
| Adverse effect of humalog | hypoglycemia |
| humalin | regular insulin (hyperglycemia in ICU or DKA) |
| NPH | insulin |
| Levimer | insulin with no risk for hypoglycemia |