Exam II CH 21 Flashcards
If a pt has hyperthyroidism, know what medication the pt would most likely be prescribed prior to surgery.
Propylthiouracil
If a pt has hyperthyroidism, know what medication the pt would most likely be prescribed prior to surgery.
Propylthiouracil
If a Nurse was instructing a pt on corticosteroid therapy, know how the Nurse would instruct the pt on stopping the medication.
Taper down
If a pt comes in w poison ivy, that is red, swollen and itching, know what drug the Doctor is likely to order.
Corticosteroid (anti-inflammatory)
Know why “Glucagon-like peptide 1 (GLP1), which is an Incretin, would be used for a pt w newly dx diabetes type 2.
- 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.
If a Nurse was instructing a pt on corticosteroid therapy, know how the Nurse would instruct the pt on stopping the medication.
Taper down
If a pt comes in w poison ivy, that is red, swollen and itching, know what drug the Doctor is likely to order.
Corticosteroid (anti-inflammatory)
Know why “Glucagon-like peptide 1 (GLP1), which is an Incretin, would be used for a pt w newly dx diabetes type 2.
- 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.
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.
Insulin
Know the insulin duration of “Lantus”.
20-24 hours
Know how the oral hypoglycemic “Byetta” lowers blood sugar.
Exenatide binds to GLP-1 receptors and stimulates insulin secretion when blood sugar is high.
Know what the s/s of hypoglycemia are.
Nervousness, hunger, malaise, cold clammy skin, lethargy, no urine glucose or acetone, pallor, diaphoresis, change in level of consciousness, and shallow respirations.
If a pt has failed to develop any secondary sex characteristics, after endocrine evaluation, know what category of drug the Doctor would prescribe.
Androgens
Know the two major glucocorticoids produced by the adrenal glands.
Hydrocortisone and cortisone.
Know the type of hormone “Vasopressin” is.
Anti-diuretic hormone
Know what hormones are used in the suppression of ovulation.
Estrogen and progestin
If a progestin is used for a short period of time to tx dysfunctional bleeding, know what effect they will have.
amenorrhea (absence of period)
Know what lab findings in thyroid disease are.
Decreased T4, Increased TSH
If a pt has lab tests for serum T4 and TSH that confirm hypothyroidism, know what med the pt would be started on.
Synthroid
Myxedema is the most severe form of hypothyroidism. Know what changes are seen in the pt w the condition.
Changes include nonpitting edema; doughy skin; puffy face; large tongue; decreased body hair; and cool, dry skin.
Know what a nurse should regularly monitor for, if a pt is on hormone replacement therapy.
Weight gain.
In a pt taking ADH (antidiuretic Hormone), know what the Nurse should monitor frequently
Dehydration
Know how “lipodystrophy” is best defined
Shrinkage and loss of the fatty tissue, when insulin is given in the same spot too frequently.
Know how “Lispro” a rapid onset, short acting inulin, differs from regular insulin, r/t the med duration.
rapid onset; short acting
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.
Hypoglycemia.
If a pt is 2 weeks post delivery date of her baby, know which drug the Doctor would use to induce her delivery.
Oxytocin
When using labor induction drugs, know what the intensity of the uterine contraction should be.
Should not be more than 50 mm Hg
IF a type 2 diabetic is started on “Januvia”, a new Incretin, know what lab the Nurse expects the dose adjustment to based on.
Creatinine clearance
