Exam 4 Endocrine

Question 1

Indications of desmopressin (pituitary drug; mimic ADH)

Answer 1

Treats hemophilia A and type 1 von Willebrand’s disease

Question 2

Indications of octreotide (pituitary drug; antagonizes effect of GH; treats GH tumors, acromegaly, and inhibits insulin/glucagon)

Answer 2

Reduces severe diarrhea, flushing and life-threatening hypotension from carcinoid crisis; Esophageal varices – reduces GI secretions and motility

Question 3

Contraindications of Synthroid (thyroid drug; treats hypothyroidism)

Answer 3

Recent MI; adrenal insufficiency; hyperthyroidism

During pregnancy – monitor TSH levels and dose adjustments q4 weeks

Question 4

Adverse Effects of Synthroid (thyroid drug; treats hypothyroidism)

Answer 4

CP; weight loss; sweating; insomnia; tremors (all hyperthyroidism symptoms)

Question 5

Nursing Implications of Synthroid (thyroid drug; treats hypothyroidism)

Answer 5

Once a day dosing, take same time each day, life-long treatment

Take 30 min – 1 hour before breakfast on empty stomach

Palpitations may indicate toxicity

Monitor TSH and free T4

Dosed in mcg PO

Decreases effectiveness of insulin, oral antidiabetics, digoxin