REVIEW SHEET- Specifics

Question 1

Thyroid Replacement

Answer 1

1. It could take several months to replace thyroid hormones and get back to normal thyroid hormone levels

Question 2

Oral Hypoglycemics

-Action

Answer 2

1. Increase Sensitivity of insulin receptors

2. Increase production of insulin

Question 3

Hypoglycemic Medication

-Meglitinides

Answer 3

1. Hypoglycemia is most common adverse effect

Question 4

Hypoglycemic Medication

-Thiazolidinediones

Answer 4

1. rosiglitazone (Avandia)

Hypoglycemia does not occur w/ drugs in this class

Question 5

Hypoglycemic Medication

-Alpha-Glucosidase inhibitors

Answer 5

1. Precose

Hypoglycemia does not occur

Question 6

Hypoglycemic Medication

-Biguanides

Answer 6

1. Metformin

Does not cause Hypoglycemia

Question 7

Hypoglycemic Medication

-Sulfonylureas

Answer 7

1. glipizide (Glucotrol)

Hypoglycemia is most common adverse effect

Question 8

Pt Receiving Insulin Therapy

-Implementation

Answer 8

1. Feed client simple sugar at first sign of hypoglycemia
2. Follow up with complex carbs and proteins

Ex simple sugars :
-fruit, Junk Food, Dairy products, Honey

Question 9

Antacids

Answer 9

1. Neutralizes acid
2. pH of stomach increases when on antacids
3. Take antacids 2 hrs before or after medications

Question 10

Isotonic Solutions

-Given for

Answer 10

1. Low extracellular volume
2. Fluid volume deficit from hemorrhage
3. Severe vomiting or diarrhea
4. Shock, mild hypoatremia, metabolic acidosis, hypercalcemia

Question 11

Isotonic Solutions

-Caution with

Answer 11

1. Cardiac or Renal Dz

- Potential for fluid volume overload

Question 12

Hypotonic Solutions

-Used for

Answer 12

1. intracellular dehydration
2. Diabetic ketoacidosis
3. HHS
4. Used when fluid needs to be shifted into the cell

Question 13

Hypotonic Solutions

-contraindication

Answer 13

1. Risk for increased ICP
2. Liver dz
3. Trauma
4. Burns due to the potential for depletion of IV fluid volume

Question 14

Hypertonic Solution

-Used for

Answer 14

1. Severe hyponatremia
2. Cerebral edema
3. Volume expanders

Question 15

Hypertonic Solution

-Contraindications

Answer 15

1. Cardiac or Renal conditions who are dehydrated
   - can cause hypervolemia
2. Pt’s w/ conditions causing cellular dehydration (Diabetic ketoacidosis)