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Endrocine medications & insulinsMedical-Surgical Nursing-7th edition

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Question Answer
Regular insulin peaks in _______ hours. NPH insulin peaks in _______ hours.
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regular = 2-6 hours; NPH = 6-12 hours
Amaryl/Glimepiride is taken _______ a day. It has a decreased risk of _______.
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once a day; hypoglycemia
Thyroid storm may proceed to _______ and _______.
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hypotension and vascular collapse
_______ and _______ may result if a patient withholds insulin due to illness.
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Hyperglycemia; ketoacidosis
Acthar (corticotropin) is used to diagnose _______ disorders.
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adrenal gland
You should monitor _______ and _______ levels in patients receiving GH.
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blood sugar and electrolytes (*can cause hyperglycemia)
What is the dawn phenomenon?
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Hyperglycemia on awakening. Headache, nightmares and night sweats. *Treated by increasing bedtime insulin dosage.
What is the Somogyi effect?
Show Answer
A hypoglycemic condition that usually occur in the predawn hours of 2-4 am. Decrease bed time dose.
What are 4 things Acthar (corticotropin) can be used for?
Show Answer
Diagnose adrenal gland disorder. Treat adrenal gland insufficiency. As an anti-inflammatory in treatment of an allergic response. Treats acute MS symptoms.
How is Acthar (corticotropin) administered?
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IV, Sub Q, and IM.
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Glucocorticoids increase the potency of _______, and _______ thus increasing the risk of GI bleeding and ulcers.
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aspirins and NSAIDS
Propylthiouracil (PTU) and methimazole (Tapazole) are used to treat _______.
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hyperthyroidism
Thytropar (Thyrotropin) is used to diagnose _______.
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hypothyroidism. It differentiates between primary (thyroid gland) or secondary (decreased TSH) hypothyroidism.
Neutral-Protamine-Hagedorn (NPH), Lente, Humulin N and Humulin L are _______ insulin's.
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intermediate acting
Tissue atrophy due to insulin is called...
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lipoatrophy
NPH insulin is _______ insulin.
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intermediate
Geref, Protropin, Humatrope, Nutropin and Genotropin all are drugs to treat...
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dwarfish and GH deficiency
A depression under the skin surface from repeated insulin injections is a sign of _______.
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lipoatrophy
Levothroid and Synthroid are used to treat _______.
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hypothyroidism
What are the risks with IM injections of steroids?
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There is a chance of necrotizing fasciitis.
All insulin's can be given Sub Q, but only _______ insulin can be given via IV.
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regular
  
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