Thyroid & Diabetes Agents Spark notes Flashcards
Assessment for Thyroid agents and anticoags
- Levothyroxine increased the effectiveness of anticoags
Priority AE for semaglutide
Pioglitazone and medication interactions
Rapid Insulin names
Novalog/Humalog
Onset: 15mins
Peak: 1-2hrs
Duration: 2-4hr
Regular/short acting insulin names
Humulin R/ Novolin R
Onset: 30 mins
Peak: 2-3 hr
Duration: 3-6 hr
Intermediate insulin names
Humulin N/ Novolin N
Onset: 2-4 hr
Peak: 4-12 hr
Duration: 12- 18 hr
Long acting insulin names
CANT BE MIXED WITH OTHER INSULINS
Levemir/Lantus/ Toujeo
Onset: 2-4 hr
Peak: No peak
Duration: Up to 24 hrs
Tresiba
Onset: 1 hr
Peak: 9 hr
Duration: 42 hr
Agents to treat hypoglycemia
Insulin and medication interactions
- BETA BLOCKERS (mask hypoglycemic signs)
- ALOE VERA, JUNIPER BERRIES, CINNAMON, GINSENG, GARLIC, DANDELION ROOT)
- Any meds that decrease glucose levels
- Salicylates
- Alcohol
- Thiazide diuretics/ Glucocorticoids
Appropriate cases to give insulin
- T1DM
- T2DM in adults w/ no response to diet, exercise, and other agents
Inappropriate cases to give insulin
- First line for T2Dm
Antidiabetic agents for prego people
Antidiabetics for reproductive conditions
Canagliflozin side effect teachings
Diazoxide and medication allergies teachings
Levothyroxine teachings
- Take 30-60 mins before meals on an empty stomach without any other medications
- Take with a full glass of water to avoid difficulty swallowing
- Older people need lower doses of it
- Monitor for thyrotoxicosis (Anxiety, difficulty concentrating, tremors, difficulty with BMs
- Increases the effectiveness of anti coags
GLP-1 Indications
Potassium iodide and medication interactions
- FOODS HIGH IN IODINE
(fish, prunes, seaweed, shellfish, lima beans, dairy products) - Anticoags
-Theophylline - Digoxin
- Metoprolol, Propranolol
- Other antithyroid meds
Signs of levothyroxine OD
Thyrotoxicosis
- Anxiety
- Difficulty concentrating
- Difficulty w/ BMs
- Tremors
PTU mechanism of action
- Prevents formation of thyroid hormone in thyroid cells, lowering the serum levels
- partially inhibits conversion of T4 to T3
Insulin and lab values
Glipizide teachings
First like med for T2DM
Metformin
Canagliflozin AE