Drugs and endocrine system Flashcards

1
Q

Symptoms of hypothyroidism

A

lethargy
hyporeflexia (Reduce or absence of reflex function to responses)
anaemia
weight gain
low body temperature- intolenrance to cold
hypotension
bradycardia (less than 60 heart beats per min)

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2
Q

What causes the symptoms of hypothyroidism?

A

Cardiovascular system and CNS are depressed

metabolic rate reduced

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3
Q

Symptoms of hyperthyroidism

A
Anxiety
Insomnia
hypertension
tachycardia
weight loss
low grade fever-intolerance to heat
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4
Q

What causes the symptoms of hyperthyroidism?

A

Cardiovascular system and CNS are depressed

metabolism rate increases

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5
Q

What is a goitre?

A

An abnormal swelling of the thyroid gland causing a lump to form

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6
Q

What causes hyperthyroidism?

A

Grave’s disease ( activation of TSH by antibodies)

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7
Q

Long term treatment for hyperthyroidism?

A

Surgery (removal of thyroid gland) and replacement hormones

Radioactive iodine

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8
Q

What does carbimazole do?

A

it inhibits the synthesis of thyroxine- used in the treatment for hyperthyroidism
it is converted into active drug in liver

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9
Q

Where is carbizole excreted from?

A

Urine

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10
Q

Adverse effects of carbizole?

A
it crosses into placenta and in breast milk> causes neonatal hypothyroidism
insomnia
nausea
rash/itching
mouth ulcers
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11
Q

What causes hypothyroidism?

A

not enough iodine in diet causing insufficient T3/T4 (thyroid hormones) causing patient to require thyroxine substitute

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12
Q

Treatment for severe hypothyroidism?

A

if severe> intravenous Triiodothyronine T3 administed

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13
Q

what is use as a thyroxine replacement?

A

levothyroxine T4

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14
Q

What does the parathyroid hormone (PTH) do?

A

It promotes the reabsorption of calcium ions in the kidney nand increases instestinal absorption causing levels of calcium ions to increase

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15
Q

what are osteoclasts?

A

bone cells

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16
Q

where is calcitonin release from?

A

C-cells of thyroid gland

17
Q

What does calcitonin do?

A

inhibits osteoplasts from releasing calcium and inhibits kidney from reabsorbing calcium ions causing a decrease in calcium ion levels

18
Q

what does calcitriol do (vitamin D3)?

A

it increases calcium ion levels by increasing bone mobilisation and increase reabsorption in gut

19
Q

what causes hypocalcaemia?

A

inadequate calcium intake
lack of vitamin d or PTH deficiency
renal problems

20
Q

symptoms of hypocalcaemia?

A

neuromuscular problems
muscle cramps
paraesthesia (sensation of tickling, burning and pricking) in extremities
fits

21
Q

treatment for hypocalcaemia?

A

ergocalciferol/calcitriol (given only if kidney function is not compromised)
calcium glucoronate IV infusion

22
Q

symptoms of hypercalcaemia?

A

muscle problems- can cause cardiac arrest

can cause renal failure

23
Q

treatment for hypercalcaemia?

A

bisphosphates and calcitonin (only short lasting-2 days max)

24
Q

what do bisphosphates do?

A

alendronic acid (a bisphosphate drug) slows bone growth and turnover which prevents loss of bones

25
Q

how are bisphosphates administered?

A

orally

26
Q

adverse effects of bisphosphates drug

A

abdominal pain

GI disturbances especially oseophangeal problems

27
Q

how is calcitonin administered?

A

nasal spray

subcutaneous or intramuscular injection

28
Q

what do mineralocorticoids do?

A

regulate mineral balance

29
Q

what do glucocorticoids do?

A

increase glucose mobilisation
increase resistance to stress
decreases white blood cells