How can we help?

You can also find more resources in our Help Center.

30 terms

Pharm Final Review (ch. 23-24)

STUDY
PLAY
Hypoglycemia
Lowered blood glucose.
Causes:
Overdose of insulin
Insufficient food intake
Excessive exercise

Symptoms:
Nausea, vomiting, hunger, weakness, headache

Treatment:
Sugar (temporary)
Protein/carb
Hypererglycemia
Elevated blood glucose
Causes:
Undiagnosed diabetes, Insufficient insulin dose
Infections, surgery/trauma, stress
Medications
Pregnancy

Symptoms:
Polydipsia, polyphagia, polyuria

Treatment:
Insulin
Electrolytes
Endocrine Hormones
Produced by ductless glands
Secrete directly into bloodstream
Endocrine Hormones
(Categories)
Categories:
Pituitary hormones
Adrenal corticosteroids
Thyroid agents
Antidiabetic agents
Pituitary Hormones
Produced in Pituitary gland, at base of brain.
Master Gland
Produces or controls endocrine hormones

Somatotropin (Human growth hormone, HGH)
Adrenocorticotropic hormone (ACTH)
Adrenal Coriticosteroids
Produced in Adrenal glands, adjacent to kidneys

Uses:
Replacement therapy
Anti-inflammatory and immunosuppressant properties

Treats:
Inflammation
Bursitis, arthritis
Skin conditions
shock
organ transplants
(Adrenal) Corticosteroid therapy
Not curative
Conditions treated w/ corticosteroids
Alternate-day therapy
Give lowest dose/shortest time
DAW: med filler, color, etc can effect the medications effectiveness

Decadron
Solu-Cortef
DepoMedrol
Kenalog
(Adrenal) Corticosteroid Therapy
(drugs)
Decadron
Solu-Cortef
DepoMedrol
Kenalog
*Decadron
(Adrenal) Corticosteroid Therapy
*Solu-Cortef
(Adrenal) Corticosteroid Therapy
*DepoMedrol
(Adrenal) Corticosteroid Therapy
*Kenalog
(Adrenal) Corticosteroid Therapy
(Adrenal) Corticosteroid Therapy
(side effects)
Side effects:
Delayed wound healing, increased susceptibility to infection.
Osteoporosis w/ fractures
Stunting of growth in children
Endocrine disorders (Cushing state)
Petechiae, easy bruising, shin thinning, tearing
Thyroid Agents
Use for replacement therapy
Diagnosis w/ blood tests/lab tests

Symptoms:
fatigue, depression, irregular periods, sensitive to cold, thinning hair, weight gain

Synthroid
Levoxyl
Thyroid Agents
(toxic effects)
toxic effects:
Hyperthyroidism
High metabolism
Palpitations
Racing thoughts
Insomnia
Hair loss
Thyroid Agents
(drugs)
Synthroid
Levoxyl
*Synthroid
Thyroid Agent
*Levoxyl
Thyroid Agent
Antithyroid Agents
Relieve symptoms of hyperthyroidism
Used in prep for surgical or radioactive iodine theraphy
Can take 6-8 weeks to feel effects of medication

Symptoms:
Palpitations
weight loss
insomnia

Tapazole
Propylthiouricil
Antithyroid Agents
(drugs)
Tapazole
Propylthiouricil
*Tapazole
Antithyroid Agents
*Propylthiouricil
Antithyroid Agents
Corticosteroid therapy
(patient education)
Patient Education:
Follow exact dosage
Do not stop abruptly
Report side effects or sign of infection (up to 12 mo. after stopping med)
Take w/ food to avoid GI upset
Avoid other drugs at same time
Expect side effects (edema, fluid retention)
Short Acting Insulin
(regular)
Onset: 30-60 min
Peak: 2-5- hrs
Duration: 5-8 hrs

Humulin R
Humulin R
Short acting insulin (regular)
Intermediate insulin
(NPH)
Onset: 1-3 hrs
Peak: 6-12 hrs
Duration: 16-24 hrs

Humulin N
Humulin N
Intermediate Insulin (NPH)
Androgens
Man made male replacement hormones
Simulate development of male characteristics

Uses:
Replacement
Congenital
Acquired
Palliative treatment (for breast cancer)

Testosterone
*Testosterone
Androgen
Androgens
(side effects)
Side effects:
Gynecomastia in males
Stunted growth in males
Anxiety, depression, headache