Meds--Endocrine

Question 1

Meds to Tx: DM

Answer 1

Oral hypoglycemic
Insulin
Glycemic agent

Question 2

Meds to Tx: Hypothyroidism

Answer 2

Thyroid H

Question 3

Meds to Tx: Hyperthyroidism (Grave’s Dis)

Answer 3

Thyroid H agonist

Question 4

Oral hypoglycemic–Contraindications

Answer 4

(metformin, glipizide)
Contra: preggers
Ed: cornerstones: diet + exc

Question 5

Insulins

Answer 5

Rapid-acting (lispro)–15, 1, 3
Short-acting (regular)–1, 3, 6
Intermediate (NPH)–2, 8, 20
Long-acting (insulin glargine)–1, none, 24

Question 6

Insulin–Action explanation

Answer 6

Action: “at the airport, can bring 2 bags: K+ & glucose”

Question 7

Meds to Tx: Hypoglycemia–S/E, Nx considerations

Answer 7

Glycemia agent (glucagon)
S/E: rebound hypoglycemia
Nx: give carbs when pt awakes

Question 8

Thyroid H–S/E, Admin

Answer 8

(levo/T4)
S/E: hyperthyroidism-like
Admin: early AM

Question 9

Thyroid H antagonist

Answer 9

(methimazole)
S/E: thyrotoxic crisis, thyroid storm
Nx: avoid iodine
Admin: w/ food same time each day

Question 10

Anterior pituitary H

Answer 10

= growth H (somatropin)

Question 11

Meds to Tx: GH insufficiency, Turner’s syndrome

Answer 11

Growth H

Question 12

Posterior pituitary H–Nx considerations

Answer 12

= ADH (desmopressin)

Nx: monitor b. vol and output

Question 13

Meds to Tx: Addison’s dis

Answer 13

(Adrenal H replacement = steroids = dexamethasone)

Question 14

Adrenal H replacement–S/E, Nx consideration

Answer 14

(Adrenal H replacement = steroids = dexamethasone)
S/E: infect, hyperglycemia, osteoporosis
Nx: taper off dose