Ch30 Pituitary Drugs

Question 1

Cosyntropin

Answer 1

-adrenocorticol insufficiency
Travels to the adrenal cortex,located just above the kidney and stimulates the secretion of cortisol
Promotes renal retention of sodium which can lead to edema and hypertension

Question 2

Somatropin

Answer 2

Drug that mimics GH
-drug promotes linear growth in children who lack normal amounts of the endogenous hormone
-increases water reabsorption renal retention
Growth plates open is indicated for use/ closed growth plate is contraindicated/ can cause hypo/hyperglycemia

Question 3

Oceotride

Answer 3

Inhibits GH release
Carcinoid tumors
Esophageal varices (large vein in neck)
VIP-diarrhea and flushing
EKG monitor
Can impair GB

Question 4

Vasopressin

Answer 4

Mimic actions of adh -concentrate urine
Used for hypotensive emergencies (septic shock) and cardiac arrest
-used for bleeding of esophageal varices

Caution with asthma and cardiovascular disease
Risk for fluid overload

Question 5

Desmopressin

Answer 5

mimic ADH/ hemophilia A and type I von Willebrand Caution with asthma and cardiovascular diseaseip/ blood clotting factors

Blood disorders,peeing at night

Caution with asthma/ renal disease/ CV disease/seizure disorders

Risk for fluid overload

Question 6

Octreotide should reduce symptoms of?

Answer 6

Carcinoid crisis

Question 7

If a child’s growth plate is finish developing can you give somatropin?

Answer 7

No because contraindicated can cause hypo/hyperglycemia

Question 8

Which hormones secrete from anterior and posterior pituitary?

Answer 8

Anterior-TSH,GH,FSH,ACTH,LH prolactin
Posterior-ADH,Oxytocin

Question 9

With Octreotide acetate the prescriber May order?

Answer 9

Electrocardiography because possible adverse effect of conduction abnormalities

Therapeutic effect include improved symptoms related to carcinoid tumors vipoma or esophageal varices