endocrine Flashcards by Lauren Fackelman

Q

antithyroid drugs

A

propylthiouracil (PTU)

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Q

adverse effects for antithyroid drugs

A

black box: liver failure

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Q

thyroid drugs

A

levothyroxine

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Q

nursing considerations for thyroid drugs

A

take in the morning on an empty stomach

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Q

factors that stimulate the pituitary

A

○ Corticotropin-releasing hormone (CRH)
○ Growth hormone releasing hormones (GHRF)
○ Thyroid-releasing hormone (TRH)
○ Gonadotropin-releasing hormone (GnRH)
Prolactin-releasing hormone (PRH)

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Q

factors that inhibit the pituitary

A

Somatostatin (Growth hormone release-inhibiting factor)

Prolactin-inhibiting factor (PIF)

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Q

what does Corticotropin-releasing Hormone (CRF) do

A

release of corticotropin during stress

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Q

what does growth hormone-releasing hormone (GHRH) do

A

release of growth hormones

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Q

what does thyroid-releasing hormone (TRH) do

A

releases TH during stress

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Q

what does gonadotropin-releasing hormone (GnRH) do

A

releases FSH and LH

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Q

what does prolactin-relasing hormone (PRF) do

A

lactation and childbirth

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Q

what does prolcatin-inhibiting factor (PIF) do

A

inhibits lactation

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Q

pituitary gland

anterior lobe (6)

A

releases:
GH
ACTH
FSH
LG
PRL
TSH

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Q

pituitary gland

posterior lobe (2)

A

stores
ADH (vasopressin)
oxytocin

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Q

anterior pituitary hormone actions

Corticotropin (ACTH)

A

Stimulates production of corticosteroids

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Q

anterior pituitary hormone actions

growth hormone AKA somatotropin (GH)

A

stimulates growth of body tissues

Q

anterior pituitary hormone actions

thyroid stimulating hormone (TSH)

A

regulates secretion of thyroid hormones

Q

anterior pituitary hormone actions

follicile stimulating hormone

A

stimulates functions of sex lands

Q

anterior pituitary hormone actions

luteninizin hormone (LH)

A

stimulates hormone production

Q

anterior pituitary hormone actions

prolactin hormone (PH)

A

milk production in mothers

Q

posterior pituitary hormone actions

antidiurtic hormone AKA vasopressin (ADH)

A

reulates water balance

Q

anterior pituitary hormone actions

oxytocin

A

uterine contractions, milk letdown

Q

Drug Therapy for Growth Deficiency

A

Somatropin

Q

contraindications for Drug Therapy for Growth Deficiency

A

closed epiphyses - the cessation of the growth of a particular bone

Drug Therapy for Diabetes Insipidus

Desmopressin (DDAVP)

advserse effects for Drug Therapy for Diabetes Insipidus

Black box warning: cardiac arrest d/t rapid fluid volume change Black box warning: risk of hyponatremia leading to seizures & death

Signs and Sx of hypocalcemia

CNS: hyperactive relflexes, parethesias, positive chvostek and trousseau signs CV: Hypotension, prolonged QT interval, edema, signs of cardiac insufficency GI: abdominal spasms and cramps Muscular: tetany, skeletal muscle cramps, layngael spasm Skeletal: bone pain, osteomalacina, bone defromities, fractures

signs and Sx of hypercalcemia

CNS: lethargy, personaility changes, stupor, coma CV: hypertension, shortened QT iternal, AV block GI: anorexia, N/V, constipation Muscular: weakness, atrophy, ataxia, loss of muscle tone Renal: polyuria, flank pain, kidney stones, acute/chronic renal insufficency Skeletal: osteopenia, osteoporosis

treatment for hypocalcemia

calcium supplements | calcium acetate, calcium carbonate (tums), calcium citrate, calcium glu

contraindications for calcium supplements

kidney stones

treatment for hypercalcemia (bisphosphonates)

alendronate

adverse effects of bisphophonates

esophageal irritation / erosion

contraindictions for bisphosphonates

inability to sit upright for 30 mins

nursing considerations fo bisphosphonates

If unable to sit upright for 30 mins will need to take Calcitonin Salmon instead

drugs for addisons disease

fludrocortisone

adverse effects of drugs for addisons disease

fluid retention HTN CHF

drug therapy for cushings disease

ketoconazole

nursing considerations for drugs for cushings disease

give with an acidic liquiud | OJ or coffee