Meds
Help!
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| cosyntropin (Cortrosyn) | anterior pituitary drug
Anti-inflammatory effect
Promotes renal retention of Na
Used in the DIAGNOSIS of adrenocortical insufficiency...If given and there's no response then there is a problem w/the cascade.
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| cosyntropin (Cortrosyn) Nursing implications, route | IM, SQ, IV, gel forms
hydrate
decrease Na intake
avoid vaccinations
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| cosyntropin (Cortrosyn) adverse effects, contraindications | edema, HTN
Caution w/migraine HA, epilepsy, asthma
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| Somatropin and Somatrem Growth Hormone | Anterior Pituitary...for children
Mimic growth hormone
Indications...inadequate secretion of endogenous GH...Hypopituitary dwarfism, HIV wasting
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| Somatropin and Somatrem (growth hormone) nursing implications | Parents should keep growth journal
Monitor therapeutic response
rotate injection site
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| Samatropin and Somatrem (growth hormone) adverse effects | HAhyperglycemia
Hypothyroidism
Inflammation at injection site
Flu-like sx
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| octreotide (Sandostatin) | Anterior Pituitary
antagonizes the effect of natural GH
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| octreotide (Sandostatin) indications | alleviates the sx of secretion of Vasoactive intestinal peptide(VIP), esopageal varices, acromegaly
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| octreotide (Sandostatin) nursing implications | Gallbladder studies
Assess liver/renal fx
Monitor glucose
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| octreotide (Sandostatin) adverse effects | HA
fatigue
increased or decreased glucose
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| vasopressin action, class, indication | Posterior Pit...mimics natural ADH
POWERFUL vasoconstrictor!!!!
Diabetes Insipidus
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| desmopressin action, class, indication | Posterior Pit...mimics natural ADH
Tx for blood disorders, nocturnal enuresis
Diabetes insipidus
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| vaso+desmopressin adverse effects | increased BP
fever
HA
Nausea
tremors
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| vaso+desmopressin therapeutic response | should reduce severe thirst and decrease urinary output
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| levothyroxine (Synthroid, Levothyroid) Indications | synthetic thyroid hormone T4
Achieve a euthyroid condition
Hypothyroidism
Tx w/thryroidectomy
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| levothyroxine (Synthroid, Levothyroid) contraindictations | recent MI
adrenal insufficiency
hyperthyroid (if overdosed)
Cardiac dysrhythmia...MOST SIGNIFICANT
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| levothyroxine (Synthroid, Levothyroid) nursing implications | baseline vs
weight
continue Tx during pregnancy
Teach pt...take at same time Qday, do not switch brands w/out asking md. Do not take over-the-counter meds w/out approval. Therapeutic effects may take several months.
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| methimazole (Tapaxole) propylithiouracil (PTU) thiomide derivatives | Antithyroid
Prevent surge in thyroid hormones that occur during surgical or radioactive iodine therapy
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| Antithyroid drugs adverse effect | Liver and bone marrow toxicity
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| Antithyroid drug interactions | oral anticoagulants
increased activity
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| Antithyroid drugs nursing implications | Give w/food
Same time Qday
Avoid high amts of iodine (seafood, soy sauce, tofu, iodined salt)
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| Glucocorticoids class | adrenocortical horomone
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| mineralcocorticoid class | adrenocortical hormone
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| adrenal steroid inhibitor class | adrenocortical hormone
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| Adrenocortical Hormone contraindications | -Serious infections (except tuberculosis meningitis)
Caution w/pt w/gastritis, reflux disease, ulcer disease, diabetes, cardiax/renal/liver dysfunction
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| Adrenocortical Hormone Adverse Effects | HF, HTN, convulsions, Ha, vertigo, mood swings, nervousness, insomnia, growth suppression, mentrual irregularities, peptic ulcers, pancreatitis, abd distention, fragile skin, petechaie, ecchymosis,facial erythema, etc...
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