Endocrine Meds Flashcards
Thyroid
secretes T3 and T4
Adrenal Glands
regulate electrolytes, fluid volume and secretes steroids
Pituitary Gland
Master gland
Hypothyroidism S/S
cold intolerance, myxedema, lethargy
Levothyroxine Sodium (Synthroid)
used for hypothyroidism, goiter and hashimoto
Synthroid SE
anorexia, weight loss, tachycardia
Synthroid teaching
take at same time each day on a empty stomach; CAUTION IN PTS WITH PRE EXISTING HEART CONDITIONS
Food that inhibit thyroid
strawberries, peached, pears, cabbage, kale
Hyperthyroidism
increased T3 and T4
severe- thyroid storm= emergency
common- graves disease
s/s- heat intolerance, weight loss, bulging eyes
Methiamozole (Tapazole)
used for hyperthyroidism, inhibits hormone synthesis
Propylthiouracil (PTU)
inhibits conversion of T4 and T3 LIVER DAMAGE; used for hyperthyroidism
Potassium Iodine
reduces size of thyroid
Crushing Syndrome
too many steroids; weight gain (moon face), acne, increased BG and BP
Addisons Disease
too little steroids; weight loss, increased potassium, hair loss
Steroids MOA
supresses inflammation and increases adrenal function
Sulfonylureas MOA
used for type 2 diabetes, stimulate beta cells to produce insulin
Sulfonylureas Contraindication
liver or kidney dysfunction
Glipizide (glucotrol)
sulfonylureas
Biguanides MOA
used for type 2 diabetes, decreases hepatic production of glucose from stored glycogen
Biguanides teaching
hold med 48 hours before and after IV contrast dye and no alcohol, take wth meals
MEtformin (glucophage)
biguanide
Symlin
for type 1 and 2 with insulin therapy, give sub Q but NEVER IN ARM
