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VN 140 Endocrine
| Question | Answer |
|---|---|
| *Signs and Symptoms of Hyperglycemia | fruity breath odor and lethargic |
| *signs and Symptoms of Hypoglycemia | blood sugar level of 60. hunger, weakness, nervousness, pallor and confusion. |
| *what is the normal blood glucose level? | 70 to 120 |
| *insulin that peaks between 10 to 30 hrs. | Human extended zinc or ULTRALENTE |
| *insulin that has a rapid onset and a shorter duration than a regular insulin | LISPRO |
| *what insulin can be given through a regular IV. Others will be subq | regular insulin |
| *it decreases and shrinkage of fatty tissues. If insulin is given at the same place | LIPODYSTROPHY |
| *what are the 3 p's of insulin nursing implication? | POLYURIA (multiply urination), POLYPHAGIA (very hungry) AND POLYDIPSIA (excessive thirst) |
| *JANUVIA | new incretin (hormone secreted by GI tract) which does is based at a lab value of creatinine clearance. |
| *ORAL HYPOGLYCEMICS - FYI | if pt has developed hyperglycemia, switch med! |
| *GLYPEPTIDE I (GLP-1) | inhibits glucagon secretion |
| *BYETTA | new anti-diabetic drug that helps to restore insulin secretion. Given through SUBQ. Don’t use with type 1 diabetes |
| *INSULIN 101 | GIVE INSULIN HALF AN HOUR BEFORE MEAL |
| *OXYTOXICS | ergot preparations that cause the uterus to contract |
| *OXYTOCIN | it is used to induce labor. Do not use this drug when contraction is over 50 mL of mercury |
| *OXYTOXIC drug | Ptosin |
| *ADH (anti diuretic hormone) | vasopressin may cause abdominal cramps, anaphylaxis, bronchial constriction, circumoral pallor, diarrhea, flatus, intestinal hyperactivity, headache, sweating, termors, urticaria, uterine cramps, vertigo, comiting; large doses may produce death |
| *ADH (anti diuretic hormone) - drugs | oxytocin and ACTH |
| *ADRENOCORTICAL HORMONES | manufactures glucocorticoids and small amounts of sex hormones |
| *ADRENOCORTICAL HORMONES -uses | it reduces inflammation in allergic or immunologic responses; treat hematologic and malignant diseases |
| *what disease causes adrenal insufficiency (adrenocortical hormones) | ADDISON'S DISEASE |
| *what disease have too much adrenocortical hormones? | CUSHING'S DISEASE |
| *what are the 2 major glucocorticoids produce by the adrenal glands? | HYDROCORTISONE AND CORTISONE |
| *what should be tapered off slowly and should never be stopped abruptly? | CORTICOID STEROID |
| *ANDROGEN | the main action is to develop secondary male sex characteristics |
| *what are the side effects of HRT (HORMONE REPLACEMENT THERAPY)? | monitor weight gain, fluid retention, edema |
| *ESTROGEN & PROGESTINS | what are the hormones used in suppression of ovulation? |
| *ESTROGENS | used for hormone replacement therapy in menopause and other conditions (ovarian failure); infertility work-ups; palliative breast cancer treatment |
| *PROGESTINS | can be used to control for uterine bleeding and cause the uterine endomitrine to shed |
| *THYROID HORMONES fyi | lab findings in thryoid disease find a REDUCED FREE T4 index and an ELEVATED SERUM TSH |
| *HYPERTHYROIDISM drug | PROPYLTHIOURACIL (in prep for surgery to stimulate thyroid) |
| *HYPOTHYROIDISM drug | LEVOTHYROXIN |
| *MYSEDEMA | most serious form of hypothyroidism. |
| *MYSEDEMA nursing implication | always monitor skin. Doughy like skin, edema, large tongue, puffy face and body hair. |
| *what should you give a pt with poison ivy -swollen arm? | CORTICOID STEROID |
| *TYPE 1 DIABETES | always insulin injection |
| *TYPE 2 DIABETES | oral but sometime injection |
| *Signs and Symptoms of Hyperglycemia | fruity breath odor and lethargic |
| *signs and Symptoms of Hypoglycemia | blood sugar level of 60. hunger, weakness, nervousness, pallor and confusion. |
| *what is the normal blood glucose level? | 70 to 120 |
| *insulin that peaks between 10 to 30 hrs. | Human extended zinc or ULTRALENTE |
| *insulin that has a rapid onset and a shorter duration than a regular insulin | LISPRO |
| *what insulin can be given through a regular IV. Others will be subq | regular insulin |
| *it decreases and shrinkage of fatty tissues. If insulin is given at the same place | LIPODYSTROPHY |
| *what are the 3 p's of insulin nursing implication? | POLYURIA (multiply urination), POLYPHAGIA (very hungry) AND POLYDIPSIA (excessive thirst) |
| *JANUVIA | new incretin (hormone secreted by GI tract) which does is based at a lab value of creatinine clearance. |
| *ORAL HYPOGLYCEMICS - FYI | if pt has developed hyperglycemia, switch med! |
| *GLYPEPTIDE I (GLP-1) | inhibits glucagon secretion |
| *BYETTA | new anti-diabetic drug that helps to restore insulin secretion. Given through SUBQ. Don’t use with type 1 diabetes |
| *INSULIN 101 | GIVE INSULIN HALF AN HOUR BEFORE MEAL |
| *OXYTOXICS | ergot preparations that cause the uterus to contract |
| *OXYTOCIN | it is used to induce labor. Do not use this drug when contraction is over 50 mL of mercury |
| *OXYTOXIC drug | Ptosin |
| *ADH (anti diuretic hormone) | vasopressin may cause abdominal cramps, anaphylaxis, bronchial constriction, circumoral pallor, diarrhea, flatus, intestinal hyperactivity, headache, sweating, termors, urticaria, uterine cramps, vertigo, comiting; large doses may produce death |
| *ADH (anti diuretic hormone) - drugs | oxytocin and ACTH |
| *ADRENOCORTICAL HORMONES | manufactures glucocorticoids and small amounts of sex hormones |
| *ADRENOCORTICAL HORMONES -uses | it reduces inflammation in allergic or immunologic responses; treat hematologic and malignant diseases |
| *what disease causes adrenal insufficiency (adrenocortical hormones) | ADDISON'S DISEASE |
| *what disease have too much adrenocortical hormones? | CUSHING'S DISEASE |
| *what are the 2 major glucocorticoids produce by the adrenal glands? | HYDROCORTISONE AND CORTISONE |
| *what should be tapered off slowly and should never be stopped abruptly? | CORTICOID STEROID |
| *ANDROGEN | the main action is to develop secondary male sex characteristics |
| *what are the side effects of HRT (HORMONE REPLACEMENT THERAPY)? | monitor weight gain, fluid retention, edema |
| *ESTROGEN & PROGESTINS | what are the hormones used in suppression of ovulation? |
| *ESTROGENS | used for hormone replacement therapy in menopause and other conditions (ovarian failure); infertility work-ups; palliative breast cancer treatment |
| *PROGESTINS | can be used to control for uterine bleeding and cause the uterine endomitrine to shed |
| *THYROID HORMONES fyi | lab findings in thryoid disease find a REDUCED FREE T4 index and an ELEVATED SERUM TSH |
| *HYPERTHYROIDISM drug | PROPYLTHIOURACIL (in prep for surgery to stimulate thyroid) |
| *HYPOTHYROIDISM drug | LEVOTHYROXIN |
| *MYSEDEMA | most serious form of hypothyroidism. |
| *MYSEDEMA nursing implication | always monitor skin. Doughy like skin, edema, large tongue, puffy face and body hair. |
| *what should you give a pt with poison ivy -swollen arm? | CORTICOID STEROID |
| *TYPE 1 DIABETES | always insulin injection |
| *TYPE 2 DIABETES | oral but sometime injection |