ENDOCRINE: Drugs for pituitary disorders Flashcards
A nurse in the emergency department is caring for a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications?
a. famotidine
b. esomeprazole
c. vasopressin
d. omeprazole
c. vasopressin - vasoconstrictor
A nurse is caring for a client who has diabetes insipidus. Which of the following laboratory values should the nurse identify as reflecting a contraindication for receiving vasopressin to treat this disorder?
a. Sodium 152 mEq/L
b. Potassium 6.0 mEq/L
c. Creatinine clearance 50 mL/min
d. Aspartate aminotransferase (AST) 52 units/L
c. Creatinine clearance 50 mL/min
Creatinine clearance should be above 87 mL/min (female) or 107 mL/min (male). Low indicates renal impairment and increases likelihood of the life-threatening adverse effects of water intoxication.
High sodium is expected for a client who has diabetes insipidus. High potassium requires attention but is not a contraindication to receiving this med. AST is high (liver) but not a contraindication.
A nurse is monitoring a client who has diabetes insipidus and was administered desmopressin. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect of this medication?
a. Thirst
b. Nocturia
c. Headache
d. Heart palpitations
c. Headache – indicator of water intoxication.
Someone who has diabetes insipidus NOT on medication is at risk for dehydration and heart palpitations.
What medication is intended for muscle mass growth, stimulates growth and production of protein, decreases the use of glucose and is commonly used for Turner’s syndrome and AIDS?
Somatotropin
What endocrine medication has a common adverse effect of hyperglycemia due to its decrease in use of glucose?
Somatotropin
What clients is somatotropin contraindicated in?
Pts who have diabetes and hypothyroidism
In which endocrine medication is an MI an adverse effect in?
a. somatotropin
b. vasopressin
c. octretide
b. vasopressin – educate to report chest pain, tightness, and diaphoresis to provider
