E2 endocrin Flashcards

(41 cards)

1
Q

propylthiouracil (PTU) class

A

anti-thyroid, thionamide

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2
Q

how does propylthiouracil (PTU) work

A

supresses synthesis of thyroid hormone in hyperthyroidism

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3
Q

propylthiouracil (PTU) dose is dependent on what

A

metabolism, as thyroid gets under control, less drug is needed

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4
Q

propylthiouracil (PTU) can be what (used)

A

used alone or with other therapies

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5
Q

propylthiouracil (PTU) is good for who

A

children who have greater risks with radioactive iodine

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6
Q

propylthiouracil (PTU) is not preferred for who

A

older adults

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7
Q

BBW for propylthiouracil (PTU)

A

severe liver injury resulting in death or acute liver failure

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8
Q

propylthiouracil (PTU) adverse effects

A
  • hypothyrodism
  • agranulocytosis-
  • derma effects
  • CNS effects
  • GI effects
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9
Q

levothyroxine use

A

choice drug for long term treatment of hypothyroidism

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10
Q

levothyroxine is what kind of therapy

A

life long with medical supervision needed

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11
Q

you cannot just stop levothyroxine abruptly

A

duh

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12
Q

adverse effects with levothyroxine

A
  • s/s of hyperthyroidism
  • tachy
  • dys
  • fractures from bone loss
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13
Q

dosage with levothyroxine needs to be what

A

individualized

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14
Q

when to take levothyroxine and what before

A

on empty stomach in the AM and take pulse before

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15
Q

what to watch for with levothyroxine

A

thyroidtoxicosis

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16
Q

somatropin use

A

used in kids whos growth is impaired by deficiency of endrogenous GH

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17
Q

how does somatropin work

A

stimulates skeletal, linear, muscle, organ grown

18
Q

how is somatropin given

19
Q

adverse effects of somatropin

A

not common

-fewer in kids

20
Q

somatropin decreases what

A

insulin sensitivity resulting in hyperglycemia

21
Q

somatropin interacts with what

A

glucocorticoids (dont take at same time)

22
Q

desmopressin (DDAVP) class

A

posterior pituitary hormone

23
Q

desmopressin (DDAVP) use

A

diabetes insipidus

24
Q

how is desmopressin (DDAVP) given

A

oral, intranasal, IV

25
what is a big contraindication with desmopressin (DDAVP)
creatinine clearance of less than 50
26
what do you need to asses with desmopressin (DDAVP)
sodium levels and decreased mental status or seizure activity
27
bbw with desmopressin (DDAVP)
1. hyponatremia may develope and lead to seizures | 2. changes in fluid volume status may result in cardiac arrest in client with known cardiovascular disease
28
hydrocortisone class
glucocorticoid
29
hydrocortisone use
in acute and chronic adrenal insufficiency such as addison's
30
older individuals taking hydrocortisone need what kind of dose
lower dose
31
bbw for hydrocortisone
clients should not recieve live virus vaccs with taking hydrocortisone
32
what kind of therapy is hydrocortisone
lifelong
33
when to take hydrocortisone
by 9 am each day to prevent HPA supression
34
do not stop taking abruptly with this drug
hydrocortisone
35
at times of stress, you need to increase dose with which drug
hydrocortisone
36
ketoconazole (nizoral) class
antifungal drug that also blocks glucocorticoid cynthesis
37
ketoconazole (nizoral) use
therapy for cushing's (too much cortisol)
38
how does ketoconazole (nizoral) work
inhibits enzyme contained in cortisol synthesis
39
bbw with ketoconazole (nizoral)
may cause hepatotoxicity
40
what enhances ketoconazole (nizoral) absorption
acidic drinks
41
what do you need to monitor when taking ketoconazole (nizoral)
liver enzymes