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Pharm F Endocrine

QuestionAnswer
Hypoglycemia Weak, dizzy, anxious N/V Cold, clammy, diaphoretic Headache, confusion
Hyperglycemia Polyuria Polydipsia Polyphagia
Glipizide education For hyperglycemia Avoid if allergic to sulfa Avoid alcohol Increases insulin secretions 30 mins before breakfast, skip if unable to eat
Glipizide ADRs Hypoglycemia Weight gain N/V/D Hepatotoxicity
Acarbose education For hyperglycemia Inhibits breakdown of complex carbs Does not cause hypoglycemia 3x a day w/ first bite of food Hypoglycemic? Use milk, juice, glucose tablets
Acarbose ADRs GI distress Hypoglycemia w/ insulin or sulfonylurea
Lispro Rapid Clear Peak: 30mins - 3 hrs Give just before or w/ food
Regular Short acting Clear Peak: 2 - 5hrs IV
NPH Regular acting Cloudy Peak: 6 - 14hrs Eat food at start of peak If given at nighttime, eat bedtime snack
Glargine (Lantus) Long acting Peak: none DO NOT MIX with other insulins Used in combo with regular For 6 years and older
Mixed Insulins Combine rapid and intermediate Fewer injections
Levothyroxine education For hypothyroidism Lifelong Contain lactose Admin in morning on empty stomach Safe for pregnancy Contraindicated in MI, HTN, angina, diabetes PO or IV
Levothyroxine ADRs Overmedication = hyperthyroidism (hold if suspected)
Methimazole education For hyperthyroidism Once daily 3 to 12 weeks for effect Does not destroy existing thyroid hormone
Methimazole ADRs Agranulocytosis (low WBC count) Contraindicated in 1st trimester of pregnancy
Created by: Haydenmeh
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