Endo Flashcards
Hyperkalemia
1) calcium gluconate (heart)
2) insulin
3) salbutamol
Carcinoid tumour
Ocreotide (somatastatin analogue)
Thyroid carcinoma
Levothyroxine (surpresses TSH)
Thyroidectomy and radiotherapy
Hypokalaemia
Pottasium sparing diuretics (amiloride / spironlactone)
Severe = IV K+ slowly
Hyperthyroidism
Thryoid storm = beta blockers
Thyroid surpression = carbimazole (thyroid peroxidase)
Radioactive iodine
Surgery if no response
Hypercalcaemia
Calcitonin drugs (miacalcin)
Hypothyroidism
Levothyroxine
Acromegaly
Surgical - transspehnoidal
Ocreotide - somatostatin analogue
Pegvisomant - GHR antagonist
Cabergoline - Dopamine agonist
Hypocalcaemia
Calcium gluconate
Vit d (cholecalciferol)if deficient
Hypoparathyroidism
Calcitriol
Addisons
Hydrocortisone and saline in crisis
Hormone replacement (hydrocortisone and fludrocortisone)
Hyperaldosteronism
Spironolactone and remove tumour if conns
Cushings
1) stop steroids
2) remove adenoma or bilateral adrenectomy
3) metyrapone, ketoconazole
Diabetic ketoacidosis
Rehydration, insulin and pottasium
Diabetes insipidus
Cranial - desmopressin (adh analogue)
Nephrogenic - bendroflumethazide and NSAIDS