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Endrocine medications & insulinsMedical-Surgical Nursing-7th edition

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What should you tell your patient about their hyperthyroid medication?
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Take with meals to decrease GI upset. Avoid iodine in salt/seafood. *Don't abruptly stop meds! No drug during pregnancy.
_______ is administered via IV for a Thyrotoxic crisis. It is also used to decrease goiters; the drug is _______ and then sipped thru a straw to avoid _______.
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Iodine/Lugol's solution; diluted; teeth staining
_______ are the drugs of choice used to decrease thyroid hormone production.
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Thioamides (block action rather than destroy tissue)
How is growth hormone administered and why?
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Sub Q and IV. Cannot be given orally because the drug is inactivated by the GI tract.
Calderol, Rocaltrol and Hytakerol are used to treat _______.
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Hypoparathyroidism and hypocalcemia
What patients are prescribed Metformin/Glucophage?
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Newly diagnosed Type II diabetes patients. *Causes a small amount of weight loss.
How does Calcitriol work?
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Promotes calcium absorption from the intestines and renal tubules.
Patients on ACTH should decrease _______ and may need a _______ supplement.
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salt intake; K+ supplement
What is the major drawback of Actos and Avandia?
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Some correlation with the use of this med and heart failure.
Januvia increases _______ & _______.
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GLPI and GIP
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Januvia blocks _______, allowing incretins to work on pancreatic alpha and beta cells.
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DPP4
Amaryl, Glucotrol and Glyburide are used to...
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lower blood sugar in type 2 diabetics
Who should not receive GH drugs?
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Children with Prader-Willi Syndrome. Severely obese children. Children with severe respiratory impairment.
Caution should be used when giving Synthroid to a patient that is on other _______ drugs.
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Protein bound
What is the formula for normal secretion of insulin per day?
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.2-.5 per 2.2 lbs. (normal 14-35 units)
Diabetics may need _______ if they are also on ACTH therapy.
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increased insulin and oral hypoglycemics
_______ is given to treat hypoparathyroidism or hypocalcemia.
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Calcitriol
Health teaching related to Acetohexamide includes avoidance of alcohol due to...
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increased half life of Acetohexamide
_______ diuretics, _______, _______ agents and _______ increase blood sugar, so insulin may need to be increased as well for diabetic patients.
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Thiazide diuretics, glucocorticoids, thyroid agents and estrogen
What is the major benefit of an insulin pump?
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It is effective in lessening long term diabetic complications.
Regular insulin peaks in _______ hours. NPH insulin peaks in _______ hours.
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regular = 2-6 hours; NPH = 6-12 hours
  
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