pharm exam 4 Flashcards

1
Q

Types of diabetes 1 & 2 – characteristics of each

A

Type 1: increased thirst, frequent urination, losing weight, frequent hunger
Type 2: increased thirst, increased hunger, slow healing cuts and wounds, blurred vision, linked with obesity

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2
Q

Signs of hypoglycemia and hyperglycemia

A

Hypoglycemia: dizziness, pale face, sweating, hunger, vision changes, shaking
Hyperglycemia: urinating large amounts, dry mouth, fatigue, blurred vision, headache

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3
Q

Hormones Associated with Endocrine System (Adrenal, Pancreas, Thyroid)

A

adrenal gland hormones: sugar (glucocorticoids) salt (mineralocorticoids), sex ( Androgens)
Thyroid hormone: TSH, T3, T4
Pancreas: glucagon, somatostatin, gastrin, Amylin

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4
Q

Negative Feedback Loop

A

a regulatory mechanism where a hormone’s level in the bloodstream is monitored, and if it becomes too high, the body signals the gland producing that hormone to decrease its production, effectively bringing the hormone level back to a normal range,

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5
Q

Hypothalamus-Pituitary Complex

A

the command center in the brain that controls vital bodily functions

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6
Q

Cushing’s Disease and Syndrome

A

the body produces too much cortisol. causes weight gain in the upper body, weight gain to face “moon face”, fatty hump between shoulders

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7
Q

Addison’s disease, treated with Corticosteroids

A

a rare disorder occurs when the adrenal glands don’t produce enough cortisol and aldosterone hormones.
Hydrocortisone: Replaces cortisol, and is usually taken in tablet form
Fludrocortisone: Replaces aldosterone, and helps control sodium and fluid levels in the body

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8
Q

Differences between Hyperthyroid and Hypothyroid and lab tests used for
each

A

Hyperthyroidism: occurs when the thyroid gland produces too much thyroid hormone TSH( low), T3(high), T4(high) lab tests, CBC and iodine
Hypothyroidism: when the thyroid doesn’t make enough thyroid hormone, TSH( high), T3 (low), T4(low)

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9
Q

osteoporosis
end of endo

A

a bone disease that causes the bone to become weak and break easily

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10
Q

Gastroesophageal Reflex Disease (GERD)

A

a digestive disorder that causes stomach contents to leak into the esophagus causing a burning sensation

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11
Q

Peptic ulcer disease (PUD)

A

a condition where the lining of the stomach or duodenum is damaged by stomach acid or digestive juices, resulting in an open sore

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12
Q

Constipation: Causes of constipation

A

a condition that occurs when you have infrequent or uncomfortable bowel movements. causes include diet, not enough activity, medications, not drinking enough fluids, psychological issues,

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13
Q

know Gi tract

A

mouth, pharynx (throat), esophagus, stomach, small intestine, large intestine, rectum, and anus.

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14
Q

Irritable Bowel Syndrome
end of GI

A

condtion that causes recurrent abdominal pain, diarrhea and constipation symptoms include: irregular bowle movements, abdominal pain, food triggers,

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15
Q

Differentiate between UTIs: Cystitis and Pyelonephritis

A

Cystitis is a bladder infection, while pyelonephritis is a kidney infection both have similar symptoms

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16
Q

Female Reproductive System

A

uterus, ovaries, fallopian tubes, cervix and vagina

17
Q

Menopause

A

Menopause is when a woman’s menstrual periods permanently stop and she can no longer get pregnant. It’s usually caused by a decrease in estrogen levels and occurs between the ages of 45 and 55

18
Q

FDA Pregnancy Medication Categories and fetotoxic medicines

A

Category A
No evidence of risk to the fetus in the first trimester or later trimesters
Category B
No evidence of risk to the fetus in animal studies, but no adequate studies in pregnant women
Category C
Animal studies show adverse effects on the fetus, but potential benefits may outweigh the risks
Category D
Positive evidence of risk to the fetus in humans, but potential benefits may outweigh the risks
Category X
Fetal abnormalities have been demonstrated in animal or human studies, and the risks outweigh the potential benefits

19
Q

Physiological changes in pregnancy

A

increased blood plasma volume, increased cardiac output, increased renal flow, increased oxygen consumption, increased plasma lipids, increased hormone production, gestational hypertension and gestational diabetes

20
Q

Conditions arising in pregnancy

A

constipation and diabetes

21
Q

Preterm Labor Drug to postpone delivery

A

Goal of therapy
* Stop labor and allow pregnancy to continue
* Delay labor until corticosteroid administered
* Tocolytic medications
* Magnesium sulfate
* Indomethacin

22
Q

During Labor Drugs to help with delivery:

A

Misoprostol

23
Q

Analgesics During Labor

A

administered IV, IM or subcutaneous ORAL NOT USED,Butorphanol tartrate (Stadol)
* Nalbuphine-hydrochloride
(Nubain)
* Epidural anesthesia (Fentanyl)

24
Q

Considerations with drugs during Lactation

A

Most drugs penetrate the
milk supply
Few drugs are
contraindicated
* Chemotherapy drugs
* Drugs of abuse
* Radioactive isotopes
Consideration of timing
and dosage

25
Q

urinary tract infection (UTI):

A

inflammation of the urinary epithelium
usually caused by bacteria from gut flora

26
Q

uncomplicated (UTI):

A

afebrile infection in a patient with a structurally
and functionally normal urinary tract.

27
Q

complicated (UTI):

A

patients with pyelonephritis or a urinary tract with
structural or functional abnormality. Greater risk for sepsis,
bacteremia, death

28
Q

dysuria:

A

subjective experience of pain or a burning sensation
on urination

29
Q

drugs that are harmful to fetus are?

A

fetotoxic and teratogenic:
“fetotoxic” refers to any toxic effect on the fetus, including growth retardation or developmental issues, while “teratogenic” specifically refers to substances that cause structural abnormalities or birth defects in the fetus

30
Q

cystitis: low tract infection

A

complicated versus uncomplicated, oral antibiotics, side effects: dysuria, frequency, urgency, nocturia, suprapubic discomfort, incomplete emptying sensation, mild incontinence, gross hematuria

31
Q

pyelonephritis: upper tract infection

A

complicated, not managed outpatient, should be in hospitalization for IV treatment, side effects: Fever, chills, malaise, flank pain, CVA tenderness, nausea,
vomiting