click below
click below
Normal Size Small Size show me how
Pituitary Meds
Pharm exam 2
| Term | Definition |
|---|---|
| Somatropin -- indications | hypopituitarism, turner syndrome |
| Somatropin -- adverse effects | injection site rxn, edema, insulin resistance, hyperglycemia, hypoadrenalism, hypothyroidism |
| Somatropin -- contraindications | known allergy, closed epiphyseal plates |
| Somatropin -- patient teaching | monitor glucose, don't take w/ glucocorticoids |
| Leuprolide -- indications | precocious puberty, prostatic cancer, endometriosis |
| Leuprolide -- adverse effects | hot flashes, sweating, dizziness, edema, MI |
| Leuprolide -- patient teaching | may have initial worsening of disease but over time sx will lessen. |
| Alendronate -- therapeutic actions | slows or blocks bone reabsorption; help lower serum calcium levels, but do not inhibit bone formation |
| Alendronate -- indications | Paget's disease, postmenopausal osteoporosis |
| Alendronate -- contraindications | hypocalcemia, preg/lact, renal dysfunction |
| Alendronate -- adverse effects | abdominal pain, constipation, MSK pain, N/D, osteonecrosis of jaw |
| Alendronate -- patient teaching | don't take w/ food, monitor adverse effects |
| Alendronate -- lab monitoring | calcium, BUN, Cr |
| Octreotide -- indications | inhibits release of gastrin, glucagon, and insulin and inhibits GH release |
| Octreotide -- adverse effects | D/N/C, cholecystitis, biliary tract obstruction, pancreatitis |
| Octreotide -- patient teaching | monitor adverse effects and warning signs |
| Teriparatide -- indications | management of hypocalcemia in pts w/ chronic renal dialysis, tx of hypoparathyroidism |
| Teriparatide -- lab studies | calcium, magnesium, alkaline phosphate levels, radiographs of bones |
| Desmopressin --indications | treats DI, von Willebrand disease, hemophilia, and nocturia |
| Desmopressin -- adverse effects | facial flushing, fluid retention, increase in BP, water intoxication |
| Desmopressin -- patient teaching | don't take with carbamazepine, digoxin, or ACE/ARBs, watch for GI problems and peripheral vascular changes |
| Calcitonin -- indications | Paget's disease, postmenopausal osteoporosis, emergency tx of hypercalcemia |
| Calcitonin -- adverse effects | flushing of face and hands, N/V, local injection site rxn, nasal irritation |
| Calcitonin -- patient teaching | drink plenty of water, rotate injection sites, monitor serum calcium, arrange for periodic blood tests |