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Nursing > Chapter 51endocrine Drugs > Flashcards

Chapter 51endocrine Drugs Flashcards

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0
Q

Cortisol hormone secreted from the adrenal cortex
Glucocorticoid
Mineralocorticoid

A

Glucocorticoid

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1
Q

Anterior pituitary gland
Adenohypophysis
Neurohyphophysis

A

Adenohypophysis

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2
Q

Pituitary gland
Neurohyphophysis
Adenohypophysis
Hypophysis

A

Hypophysis

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3
Q

Aldosterone hormone secreted from the adrenal cortex
Glucocorticoid
Mineralocorticoid

A

Mineralocorticoid

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4
Q

Severe hypothyroidism in adults

A

Myxedema

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5
Q

Posterior pituitary gland

A

Neurohyphophysis

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6
Q

T4 hormone secreted by thyroid gland
Triiodothyronine
Thyroxine

A

Thyroxine

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7
Q

T3 hormone secreted by the thyroid gland
Triiodothyronine
Thyroxine

A

Triiodothyronine

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8
Q

Increases sodium retention and increases bp
Glucocorticoid
Cortisone

A

Cortisone

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9
Q

Promote loss of potassium
Cortisone
Glucocorticoid

A

Glucocorticoid

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10
Q

What crisis occurs if cortisone is stopped abruptly

A

Adrenal

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11
Q

Weight gain or weight loss occurs with cortisone

A

Weight gain as a result of water retention

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12
Q

Promotes sodium retention, potassium loss and increased blood glucose
Cortisone
Glucocorticoid

A

Glucocorticoid

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13
Q

Promotes loss of muscle tone and loss of calcium from bone
Cortisone
Glucocorticoid

A

Cortisone

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14
Q

What side effects occur with high doses of glucocorticoid

A 
Moon face
Puffy eyelids
Edema in feet
Dizziness
Menstrual irregularities
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15
Q

Irritate gastric mucosa and may cause peptic ulcers
Cortisone
Glucocorticoid

A

Glucocorticoid

16
Q

Adrenal hypo secretion

A

Hypoglycemia
Fatigue
Hypotension

17
Q

Adrenal hypersecretion

A 
Hyperglycemia
Buffalo hump
Seizures
Impaired clotting
Cataract formation
Hypervolemia 
Peptic ulcer
18
Q

Maintenance dose of Synthroid

A

50-200 mcg/day

19
Q 
After starting Synthroid how soon should you feel effects
3-4 days
4-7 days
1-2 weeks
2-4.weeks
A

2-4 weeks

20
Q

Normal dose of Synthroid initially

A

25-50 mcg/ day

21
Q

Symptoms of hyperthyroidism

A

Chest pain
Excessive sweating
Tachycardia

22
Q

Foods to avoid with hypothyroidism that inhibit thyroid secretions

A

Strawberries
Radishes
Peas

23
Q 
What time of day teach patient to take levothyroxine
Before breakfast 
With breakfast 
After breakfast 
With lunch
A

Before breakfast

24
Q

Primary info to include in teaching plan for patient with hypothyroidism

A

Avoid otc drugs

Wear a medic alert info device

25
Q

What is usual dose of predisone
60-100
100-125
5-60

A

5-60 mg daily

26
Q 
What lab value needs to be monitored closely when taking prednisone
Hematocrit
Hemoglobin
Magnesium 
Potassium
A

Potassium

27
Q 
Best time to take prednisone
Before meals
With meals
1 hour after meals
At bedtime
A

With meals

28
Q

Drugs that should be used with caution when taking a glucocorticoid

A 
Nonsteroidal anti inflammatory drugs
Aspirin
Oral anticoagulants
Phenytoin
Potassium wasting diuretics
29
Q

What are the primary nursing interventions in care of a patient taking prednisone

A

Monitor vital signs
Obtain a complete med hx
Record daily weight

30
Q

What imbalance may occur with herbal laxatives such as cascara or senna and herbal diuretics such as celery seed or juniper when taken with a corticosteroid
Hypoglycemia
Hypokalemia
Hyponatremia

A

Hypo kalmia

31
Q

What changes can occur when ginseng is taken with a corticosteroid

A

CNS stimulation

Insomnia

32
Q

Drug used for a procedure to diagnose adrenal gland dysfunction

A

Acthar

33
Q

To avoid potassium loss which foods would you eat

A

Nuts
Meats
Vegetables
Dried fruits

34
Q

Which drugs interact with Synthroid

A

Anticoagulants
Digitalis
Oral antidiabetics

35
Q

Side effects of prednisone

A

Edema
HTN
Increased blood sugar
Mood changes

36
Q

What signs and symptoms are associated with adrenal insufficiency

A 
Muscle wasting
Apathy
Nausea
Vomiting
Electrolyte imbalances
Hypovolemia
Anemia
Cardiovascular collapse
37
Q

What is the dosage of hydrocortisone and how is it administered

A

20-240 mg daily in 3-4 divided doses orally. Can also be given IV or suppository

38
Q

Priority teaching for adrenal insufficiency

A

Monitoring vital signs and weight
Compliance with medication regimen
Don’t stop taking a glucocorticoid abruptly
Watch for signs of overdose or Cushing’s syndrome (moon face, weight gain, puffy eyelids, edema)
Carry medic-alert
Herbal preparations avoided unless discussed with physician or pharmacist

Nursing (10 decks)

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