Diabetes, Hormones and Uti Flashcards
Insulin action
simulates glucose uptake and simulates the synthesis of glycogen by the liver
Insulin use
for type 1
used for more severe type 2
Insulin adverse reactions
hypoglycemia
Insulin contraindications
allergy to animal (pig or cow)
using oral hypoglycemic agents
hypoglycemia
insulin patient education
requirements may change if stressed or sick
given parenterally usually SQ
rotate injection sites
Oral antidiabetics biguanides action
reduces hepatic glucose production AND increases insulin sensitivity
Oral antidiabetics sulfonylureas action
stimulates beta cells of pancreas to make more insulin
oral antidiabetic uses
Treat type 2 not controlled with diet and excercise
Oral anti diabetic contraindications
Diabetic ketoacidosis with biguanides
Sever infection
Heart failure with thiazolidinedione
Oral diabetic examples
Metformin
Insulin regular
regular insulin
what sub class is metformin
Biguanides
Thyroid action
influence every organ and tissue.
Primarily concerned with metabolic rate
Thyroid uses
used as replacement when patient is hypothyroid
Thyroid adverse reactions
Overdose and hyperthyroidism
Thyroid contraindications
MI
Thyrotoxicosis
Pregnancy cat A
Thyroid Patient education
full effects will take several weeks but will notice changes in 48 hours
Thyroid example
Levothyroxine
Male hormone Actions
Help with secondary sex characteristics hair, deep voice, body fat, muscle
Male hormone adverse reactions
Breast enlargement
Testicular atrophy
inhibits testicle function
Impotence
Male hormone examples
methyltestosterone
Contraceptive action
inhibits ovulation
POPs
Norethindrone (mini pill)
Combined estrogen-progestin oral contraceptives
any med with estradiol
When should contraceptives be taken to prevent pregnancy ?
every day at the same time.
Contraceptives adverse reaction
break through bleeding
Mental depression
Headaches (coc)
Venous thromboembolism (COC)
Contraceptive contraindications
Breast cancer (coc) Unknown bleeding thromboembolic disease (coc)
Male hormone contraindications
Liver disorder
serious cardiac disease
prostate gland disorders