Endocrine

Question 1

Bio synthetic growth hormone

Answer 1

Replace growth hormone successful 80% of the time give at bed time

Question 2

Synthetic hormones

Answer 2

Lupron depot injections ( every 1-3 mo)
Hisrelin implant(in arm last 1-2yrs)

Stop pituitary from release of gonadotrophins

Question 3

K

Question 4

Levothyroxine

Answer 4

Oral thyroid hormone replacement (hypothyroidism)
If diagnosed within first 3 months = start treatments =better prognosis
Life long treatment

Question 5

Metaformin

Answer 5

Helps the absorption of sugar from diet so it helps reduce the insulin usage
Type 2 DM

Question 6

8 hour fasting blood glucose

Answer 6

> 126 mg/dl

Question 7

Random blood glucose

Answer 7

> 200 mg/dl w classic signs of hyperglycemia

Question 8

Oral glucose tolerance test

Answer 8

Greater than or equal to 200 mg/dl in the 2 hour sample

Question 9

Hemoglobin A1C

Answer 9

Greater than or equal to 6.5%

Question 10

Rapid insulin

Answer 10

Give within 15 min of meal

Question 11

Short insulin

Answer 11

Give 30 min before meal

Question 12

intermediate insulin

Answer 12

Cloudy (mix it clear to cloudy

Question 13

Long acting insulin

Answer 13

Cannot be mixed in a syringe w any other insulin has to be given as separate injection

Question 14

Dilution insulation

Answer 14

Given to babies under 12 mo
Have to dilute to sensitivity for extremely young infants w/o dilution it can bottom out blood sugar

Question 15

Conventional management of dm

Answer 15

Short/rapid given to conver breakfast intake
Then intermediate is gonna carry them over to next dose at supper time and repeat

Question 16

Intensive therapy of DM

Answer 16

Seen more long acting once or twice a day plus rapid aciting proper to each meal
Mimics our body’s basal release of insulin

Question 17

Glucagon

Answer 17

Mixed then IM or sub q or intranassally (baqsimi)
Should increase bs in 15 min
Can cause n&v so turn pt on side to prevent aspiration

Baqsimi for ages 4 and older