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drug therapy for endocrine disorder

Terms in this set (47)

hyperthyrodism is associated with
graves disease
drug therapy for hyperthyroidism?
propylthiiouracil
black box warning for propylthouracil?
for severe liver injuring resulting in death or acute liver failure (metabolizes in liver)
client education for propylthouracil?
need liver function tests done every 6 months
check TSH
take at regular intervals 8 hours
report sore throat, bleeding, bruising, yellowing of skin
check weight 2-3 times weekly
adjuvant medication to treat hyperthyroidism, beta blocker, controls symptoms of tacky, excessive sweating, tremors and nervousness
propranolol
drug therapy for hypothyroidism?
levothyroxine
this is the drug of choice for long term treatment of hypothyroidism?
levothyroxine
do not stop abruptly for this drug?
levothyroxine
black box warning for levothyroxine?
do not order alone or in combination with other therapeutic agents for treatment of obesity or for weight loss
take on empty stomach, do not take with antacid, need to check pulse prior, notify HR higher than 100
levothyroxine
a client is taking levothyroxine when would be the best time to take this?
in the morning before breakfast
what assessment should be done prior to administering levothyroxine?
pulse
a client is taking levothyroxine and experiencing shortness of breath, heart rate of 120, crackles, and has edema, what should the nurse expect is happening?
heart failure
anterior pituitary hormone, stimulates organ growth, used in GH of children, also used for turners syndrome and Parder-Willi Syndrome?
somatropin
drug decreases sensitivity of insulin?
somatropin
clients who have Parder-Willi syndrome and are obese should not take which drug?
somatropin
posterior pituitary syndrome, main use for neurogenic diabetes insipidus?
desmospressin acetate
creatine clearance less than 50 is contraindicated in which drug?
desmospressin acetate
black box warning for desmospressin acetate?
hyponatremia may develop and lead to seizures
changes in fluid volume status may result in cardiac arrest in clients with unknown cardiovascular disease
vasopressin is used for?
diabetes insipidus and also for hypotension
oxytocin is used for?
promotes uterine contractility to induce labor and control postpartum bleeding
drugs for central precocious puberty, also used in infertility, endometriosis and uterine fibroids?
leuprolid acetate
administer to girls until age 11 and boys until age 12?
leuprolid acetate
effect is seen 2-4 weeks and slows down the process of puberty?
leuprolid acetate
drugs for acromegaly, inhibits gastrin, vasoactive intestinal peptide, insulin, glucagon, secretion, suppresses GH and IGF (which enlarges organs)?
octreotide acetate
a child with type 1 diabetes is receiving somatropin. what does the nurse need to asses the client for?
hyperglycemia
addison disease needs to
ADD adrenal cortical hormones
addison disease symptoms?
bronze pigmentation of skin
change in hair distribution
hypoglycemia
weight loss
gi disturbances
weakness
cushings disease is too
MUCH adrenal cortical hormones
symptoms of cushings disease?
personality change
hyperglycemia
NA and fluid retention
thin extremeties
gyneo
moon face
fat deposit
suseptibility of infection
drugs for addisons disease adrenocorticoids/mineralocoroids prototype?
hydrocortisone
hydrocortisone is a
immunosuppresent drug, lower doses
black box warning for hydrocortisone?
clients should not receive live virus vaccines when taking this
what time should a patient taking hydrocortisone take it?
@ 9000
increase calcium intake fractures in long term use?
hydrocortisone
drugs for addisons disease mineralocorticoids prototype?
fludrocortisone acetate
fludrocortisone acetate meds ADD, assess for
growth patterns and hypernatremia and hypokalemia
patient teachings for fludrocortisone?
eat foods high in potassium, decrease sodium, increase calcium, see ophthalmologist every 6 months - check for cataracts
drug therapy for cushings disease?
11-deocycortisol inhibitors prototype ketoconazole
antineoplastics prototype mitotane
what does ketoconzaole do?
inhibits enzymes contained in cortisol synthesis
black box warning for ketoconazole?
may cause hepatoxicity
acidic drinks ehance absorption, don't take antacids, monitor liver enzymes are patient teachings for what drug?
ketoconazole
mitotane is the treatment of?
cushings disease caused by adrenocortical carcinoma
drug will decrease tumor size but NOT cure
black box for mitotane?
necessary to stop medication in event of shock or trauma
assess CNS depression and hypotension for what drug?
mitotane
a client has been prescribed fldrocortisone acetate. what should the nurse include in the teaching?
eat foods high in potassium
the nurses administering ketoconazole. what diagnostic test needs to be assessed prior to administering this med?
liver enzymes
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