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Pharmacology II > Exam II CH 21 > Flashcards

Exam II CH 21 Flashcards

1
Q

If a pt has hyperthyroidism, know what medication the pt would most likely be prescribed prior to surgery.

A

Propylthiouracil

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2
Q

If a pt has hyperthyroidism, know what medication the pt would most likely be prescribed prior to surgery.

A

Propylthiouracil

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3
Q

If a Nurse was instructing a pt on corticosteroid therapy, know how the Nurse would instruct the pt on stopping the medication.

A

Taper down

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4
Q

If a pt comes in w poison ivy, that is red, swollen and itching, know what drug the Doctor is likely to order.

A

Corticosteroid (anti-inflammatory)

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5
Q

Know why “Glucagon-like peptide 1 (GLP1), which is an Incretin, would be used for a pt w newly dx diabetes type 2.

A
  • Stimulate glucose-dependent endogenous insulin secretion (and perhaps insulin sensitivity).
  • Inhibit endogenous glucagon secretion.
  • Suppress appetite and induce satiety.
  • Reduce the speed of gastric emptying.
  • Possibly stimulate islet growth.
  • Protect beta cells from cytokine and free fatty acid-mediated injury.
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6
Q

If a Nurse was instructing a pt on corticosteroid therapy, know how the Nurse would instruct the pt on stopping the medication.

A

Taper down

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7
Q

If a pt comes in w poison ivy, that is red, swollen and itching, know what drug the Doctor is likely to order.

A

Corticosteroid (anti-inflammatory)

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8
Q

Know why “Glucagon-like peptide 1 (GLP1), which is an Incretin, would be used for a pt w newly dx diabetes type 2.

A
  • Stimulate glucose-dependent endogenous insulin secretion (and perhaps insulin sensitivity).
  • Inhibit endogenous glucagon secretion.
  • Suppress appetite and induce satiety.
  • Reduce the speed of gastric emptying.
  • Possibly stimulate islet growth.
  • Protect beta cells from cytokine and free fatty acid-mediated injury.
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9
Q

If a pt has diabetes type 2 for the last 5 years and has taken several different oral hypoglycemic, and still has elevated blood sugars, know what medication the Doctor would likely switch the pt to.

A

Insulin

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10
Q

Know the insulin duration of “Lantus”.

A

20-24 hours

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11
Q

Know how the oral hypoglycemic “Byetta” lowers blood sugar.

A

Exenatide binds to GLP-1 receptors and stimulates insulin secretion when blood sugar is high.

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12
Q

Know what the s/s of hypoglycemia are.

A

Nervousness, hunger, malaise, cold clammy skin, lethargy, no urine glucose or acetone, pallor, diaphoresis, change in level of consciousness, and shallow respirations.

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13
Q

If a pt has failed to develop any secondary sex characteristics, after endocrine evaluation, know what category of drug the Doctor would prescribe.

A

Androgens

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14
Q

Know the two major glucocorticoids produced by the adrenal glands.

A

Hydrocortisone and cortisone.

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15
Q

Know the type of hormone “Vasopressin” is.

A

Anti-diuretic hormone

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16
Q

Know what hormones are used in the suppression of ovulation.

A

Estrogen and progestin

17
Q

If a progestin is used for a short period of time to tx dysfunctional bleeding, know what effect they will have.

A

amenorrhea (absence of period)

18
Q

Know what lab findings in thyroid disease are.

A

Decreased T4, Increased TSH

19
Q

If a pt has lab tests for serum T4 and TSH that confirm hypothyroidism, know what med the pt would be started on.

A

Synthroid

20
Q

Myxedema is the most severe form of hypothyroidism. Know what changes are seen in the pt w the condition.

A

Changes include nonpitting edema; doughy skin; puffy face; large tongue; decreased body hair; and cool, dry skin.

21
Q

Know what a nurse should regularly monitor for, if a pt is on hormone replacement therapy.

A

Weight gain.

22
Q

In a pt taking ADH (antidiuretic Hormone), know what the Nurse should monitor frequently

A

Dehydration

23
Q

Know how “lipodystrophy” is best defined

A

Shrinkage and loss of the fatty tissue, when insulin is given in the same spot too frequently.

24
Q

Know how “Lispro” a rapid onset, short acting inulin, differs from regular insulin, r/t the med duration.

A

rapid onset; short acting

25
Q

If a pt comes into a clinic w complaints of feeling shaky and nervous, has DM type 2 and history of recent alcohol use, know what the Nurse should check the pt for.

A

Hypoglycemia.

26
Q

If a pt is 2 weeks post delivery date of her baby, know which drug the Doctor would use to induce her delivery.

A

Oxytocin

27
Q

When using labor induction drugs, know what the intensity of the uterine contraction should be.

A

Should not be more than 50 mm Hg

28
Q

IF a type 2 diabetic is started on “Januvia”, a new Incretin, know what lab the Nurse expects the dose adjustment to based on.

A

Creatinine clearance

Pharmacology II (5 decks)

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