Drugs and the Endocrine System Flashcards
Hypothyroidism symptoms on central nervous system? (5)
- Anxiety
- Nervousness
- Tremor
- insomnia
- Hypertension
Hypothyroidism symptoms on cardiovascular system? (2)
- Tachycardia
2. Palpitations
Hypothyroidism symptoms on metabolic rate? (4)
- Low grade fever
- Intolerance to heat
- increased appetite
- Weightloss
Hyperthyroidism symptoms on central nervous system? (3)
- Slow speech
- Lethargy
- Hyporeflexia
Hyperthyroidism symptoms on cardiovascular system? (3)
- Hypotension
- Bradycardia
- Anaemia
Hyperthyroidism symptoms on metabolic rate? (3)
- Weight gain
- Low Body temperature
- Intolerance to cold
Why do people develop a goitre when they have an under active thyroid? (2)
- They do not have enough iodine so insufficient T3/T4 cells.
- There is a disruption to negative feedback.
Why do people develop a goitre when they have an over active thyroid? (2)
- Activation of TSH receptors by antibodies (graves disease).
- Increase in size and function of the thyroid gland.
Hyperthyroidism is an…
Autoimmune condition .
Treatment for hyperthyroidism does not cure the problem it…
Suppresses it.
Drugs to treat Hyperthyroidism are? (2)
- Carbimazole
2. Propylthiouracil.
What are the long term treatments for hyperthyroidism? (3)
- Surgery
- Radioactive iodine
- Replacement hormones.
Carbimazole works by…
Inhibits the synthesis of thyroxine.
Carbimazole is absorbed…
At the gut and is converted by the liver to its active form.
How is carbimazole excreted?
In the urine
Carbimazole has a short…
Half life.
Unwanted affects of carbimazole?
- Nausea
- Allergic rash
- Itching
People with hypothyroidism require…
Thyroxine substitute (levothyroxine T4)
In severe cases of hypothyroidism people require…
IV triiodothyronine T3
The half life of T3 is much…
Lower.
Parathyroid hormone promotes Ca2+ reabsorption from the…
Kidney.
Calcitonin inhibits…
Reabsorption from the kidney, lowering blood plasma Ca2+ levels.
How does Calcitriol work?
It increases blood plasma Ca2+ levels by increasing bone mobilisation and increasing reabsorption from gut.
How is Hypocalcaemia caused? (4)
- Inadequate Ca2+ intake,
- deficiency in PTH
- Lack of vitamin D
- Renal problems.