Chapter 46 Flashcards
What is the function of growth hormone?
Affects body tissue and bone; acts on newly forming bone
What does secretion of ACTH stimulate the release of
Gluticorticoids (cortisol), mineralcorticoids (aldosterone), and androgens
A deficiency of ____ would prompt the provider to order either vasopressin (Pitressin) or desmopressin (DDAVP)
ADH
What occurs with ADH excess
Sodium and water retention, AKA SIADH
This drug can steadily raise your sodium levels in the presence of SIADH
Tolva plan
When should levothyroxine sodium be taken
Always in the morning 1 hour before breakfast
Weight loss, irritability, tachycardia, intolerance to heat, and exophthalmos are characteristic of what disease process?
Hyperthyroidism (also can occur from too high of a dose of synth road for treatment of hypothyroid)
This drug is used in management of hyperthyroidism and works by inhibiting the conversion of t4 and t3
Propylthiouracil
Calcitriolis used in the management of
Hypoparathyroidism or chronic hypocalcemia
Your patient begins exhibiting twitching of their mouth, cargo pedal spasms, and tingling of their fingers. You suspect:
Tetany
Calcitonin-salmon is used in the management of:
Hyperparathyroidism or hypercalcemia
With adrenal hyposecretion/insufficiency you suspect which disease process?
Addison’s disease
With adrenal hyposecretion you suspect which disease process?
Cushing’s disease
Does prednisone suppress or promote adrenal function
Suppress
Name important pieces of education for a patient on prednisone
- Stay away from people who are ill
- Monitor cuts/wounds very closely
- Monitor blood sugar if diabetic
- Taper to prevent an adrenal crisis
- Monitor for weight gain (d/t Na and H2O retention)
- Assess for Cushing’s like symptoms
