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Pharmacology: Endocrine

Terms in this set (25)

Insulin types
long acting
intermediate acting
short acting
long acting
glargine
detemir
degludec
intermediate insulin
nph
short acting insulin
regular

lispro, aspart, glulisine (LAG)
Long acting insulin is given
once a day
intermediate insulin is given
BID
regular insulin

peak
can be given what route
tx
2-5 hrs
IV
DKA
LAG (insulin)

peak
0.5-3 hr
best option for postmeal hypoglycemia
LAG
Metformin

treats

how does it differ from insulin

precautions
DM II
does not stimulate insulin secretion (risk of hypoglycemia low)
hold with IV contrast at least 48 hours
Levothyroxine

treats

medications that impair absorption of this medication
hypothyroidism

antacids
calcium
iron
Levothyroxine

medication administration
take on an empty stomach and separate from other medications
Levothyroxine

therapeutic effects can take
3-4 weeks after starting but may take up to 8 weeks
Levothyroxine

hormone levels are rechecked every
4-6 weeks
Levothyroxine

toxicity
signs of hyperthyroidism
Radioactive Iodine

treats

how long is the response
treats hyperthyroidism

delayed response --> takes about 3 months
RAI

home precautions
limit close contact with pregnant women and children

use separate toilet and flush 2-3 times

use disposable plates and cups

isolate laundry

sleep in separate beds
Desmopressin

treats
diabetes insipidus
Desmopressin

causes
lower urinary output and increases urine specific gravity
Desmopressin

side effects

report
water intoxication
hyponatremia

HA, AMS, muscle weakness
Sulfonylureas
Glyburide
Glipizide
Glimepiride
Sulfonylureas

treats

major side effects

teach
DM II

hypoglycemia

weight gain

to wear sunscreen, avoid alcohol, read food labels
Thiazolidinediones end in
-glitazone
Thiazolidinediones

treat

action

do not administer if patient has

risk for
DM II

improve insulin sensitivity but do not release insulin (low risk for hypoglycemia)

hx of HF or volume overload

bladder cancer
Allopurinol

used to

take with

educate
Prevent gout attacks

glass of water

increase fluid intake
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