Hormones, Carbohydrates, Hypoglycemics, Nutrition, Vitamins Flashcards
Classes of Hormones
Proteins and Polypeptides: Made of chains of amino acids
* Insulin
* Epinepherine
Amine Hormones: Derived from amino acids
* Dopamine
* Epinepherine
Steroid Hormones: Derived from lipids
Hormones
Gen. Info
Chemical messengers secreated from endocrine glands that help the body maintain homeostasis
Pancreatic Cells
BAD IGS
Alpha Cells: Secrete glucagon
Beta Cells: Secrete Insulin
Delta Cells: Secrete Somatostatin
MMP
Glucagon
Classification, Mechanism of Action
Class: Hormone, Pancreatic
- Raises blood sugar
- Inhibits gastric and pancreatic secretions
MMP
Glucagon
Indications
- Altered mental status w/ suspected hypoglycemia w/ no IV access
- Beta blocker overdose (unlabled use)
Common Med
Vasopressin
Classification, MoA, When its Used
Class: Hormone, ADH, Vasopressor
Indication: Vasodilatory Shock, Cardiac Arrest
MoA: Causes vasoconstiction and decreases urine production
MMP
Glucagon
Doses, Route
Hypoglycemia w/o IV Access
* Adult: 1mg IM/IN (max. 3mg)
* 5-18yo: 1mg IM/IN (max. 3mg)
* 28days-4yo: 0.5mg IM/IN (max. 3mg)
Beta Blocker Overdose:
* Adult: 1mg IVP every 5 min
* 5-18yo: 1mg IVP every 5 min
* 28d-4yo: 0.5mg IVP every 5 min
Type 1 Diabetes
Beta cells become incapable of secreasing Insulin
Common Med
Oxytocin
Classification, MoA, When its Used
Class: Hormone, Oxytocic
Indications: Induction of labor, Control of post partum hemorage
Prescribed
Insulin
Classification, MoA, When its Used
Class: Antidiabetic, Hormone
MoA: Promotes glycogenesis, Inhibits glucogenesis
Used for diabetes
Carbohydrates
General Info
Increase body’s blood sugar to maintain glucose homeostasis
ACLS and MMP
Dextrose
Classification, MoA
Class: Caloric source, Carbohydrate
MoA: Increases blood glucose levels
ACLS and MMP
Dextrose
Indications
Altered mental status due to hypoglycemia
ACLS and MMP
Dextrose
Contraindications
Known hyperglycemia
ACLS and MMP
Dextrose
Adverse Effects
May worsen hyperglycemia
ACLS and MMP
Dextrose
Dose, Route
Adult: 50mL boluses (5g) D10 or 25g D50
<28d: 2mL D10 IV/IO
28d-4y: 2-4mL/kg D10 IV/IO (max. 25g)
5-18y: 2-4 mL/kg D10 IV/IO (max. 25g)
Prescribed
Glipizide
Classification, MoA, When its Used
Class: Antidiabetics, Sulfonylureas
Indications: Type II Diabetes
Stimulates insulin release from pancrease
Common
Thiamine
Classification, MoA, When its Used
Class: Vitamin, Water Soluable Vitamin
Indications: Thiamine deficiencies, prevents wernicke’s encephalopathy
Helps the body generate energy from nutrients
MMP
Glucagon
Contraindications
Known hypersensitivity
MMP
Glucagon
Adverse Effects
Nausea and Vommiting