TOPIC 11 Flashcards
Growth hormone
Thyroid stimulating hormone
Adrenocorticotropic hormone
Gonadotropin follicle stimulating Hormone
Luteinizing hormone
Prolactin
Anterior Pituitary gland
Antidiuretic hormone
Oxytocin
Posterior pituitary gland
Thyroid releasing hormone (TRH)
Corticotropin releasing hormone (CRH)
Growth hormone-releasing hormone (GH_RH)
Growth hormone -inhibiting hormone (GH-IH)
Hypothalamus
Thyroxine (T4)
Triiodothyronine ( T3)
THYROID GLAND HORMONES
Controls metabolic rate and activity of nearly every tissue and organ
Increase CO
Increase 02 consumption
Carbohydrate use , proteins and fats
Affect heat regulation and menstrual cycle
Thyroid hormone
HYPOTHYROIDISM cause in adult_______children_______
Myxedema ( adult)
Cretinism ( children)
Lethargy
Puffy eyelids and face
Thick tongue
Slow speech with hoarseness
Lack of perspiration
Slow pulse
Cold intolerance
Abnormal menses
HYPOTHYROIDISM SX
Drug of choice for replacement therapy
Increases T3 and T4
Given per orem
Levothyroxine sodium (Levothyroid, Synthroid)
Tachycardia
Chest pain
Palpitations
Excess sweating
HYPERTHYROIDISM SX
Reduce excess T3 and T4
Thiourea derivatives
1. Propylthiouracil (PTU)
2. Methimazole(Tapazole)
HYPERTHYROIDISM DRUG THERAPY
Inhibits thyroid hormone synthesis
PO
METHIMAZOLE (TAPAZOLE)
Inhibits conversion of T4 and T3
Maybe used before surgery or radioactive iodine tx palliative control
Toxic goiter
PO
PROPYLTHIOURACIL (PTU)
Reduce size and vascularity of thyroid gland
STRONG IODINE SOLUTION (LUGOL’S SOLUTION)
Regulates calcium in the blood
Parathyroid hormone
Mobilizing calcium from bones
Promotes Ca absorption from the intestine
Promotes Ca reabsorption from the renal tubule
Parathyroid hormone
PTH deficiency
Vitamin D deficiency
Renal impairment
Diuretic therapy
Hypocalcemia
Promote calcium replacement in the Gl tract
Promote reabsorption of calcium from the renal tubules
Activates Vitamin D
PTH replacement
Vitamin D analogue that promotes calcium absorption from the Gl tract and secretion of Calcium from bones to the bloodstream
Calcitriol-PO
Treatment of Paget disease
HyperPARAthyroidism
Hypercalcemia Subcutaneous
CALCITONIN - human (CIBACALCIN)
CALCITONIN - salmon (MIACALCIN)
Treatment of Paget disease
HyperPARAthyroidism
Hypercalcemia
PO
CINACALCET ( SENSIPAR)
- LISPRO (Humalog)
- ASPART (Novolog)
- GLULISINE (Apidra)
RAPID ACTING INSULIN
- INSULIN REGULAR (Humulin R)
SHORT ACTING INSULIN
- ISOPHANE, NPH (Humulin N, Novolin N)
- SUSP LENTE (Humulin L, Novolin L)
INTERMEDIATE ACTING INSULIN
- ULTRALENTE INSULIN
- INSULINE GLARGINE (Lantus
LONG ACTING INSULIN
- HUMULIN 70/30
- INSULIN ISOPHANE NPH 50/50
- HUMALOG 75/25
INSULIN COMBINATIONS
- Decrease hepatic production of glucose from stored glycogen
- Increases insulin receptor sensitivity
- Decrease absorption of glucose in the small intestine
METFORMIN (Glucophage)
Improves glucose control and decrease insulin resistance
ALPHA GLUCOSIDASE INHIBITOR
Insulin enhancing agents
Improves blood glucose control and increase insulin sensitivity
THIAZOLIDINEDIONES
Produced corticosteroids:
Glucocorticoids ( Cortisol)
Mineralocorticoids (Aldosterone)
Adrenal cortex
Promote sodium retention and potassium excretion
Corticosteroids
Results from adrenal insufficiency
Addison’s disease
Results from hypersecretion of the adrenal glands
Cushing’s syndrome
Cause sodium retention
Water retention
Potassium loss
Increase blood pressure
Glucocorticoids
Has antiinflammatory, anti-allergy, antistress effect
Cortisol /Cortisone drugs
Multiple sclerosis
Rheumatoid arthritis
Myasthenia gravis
Indications for Glucocorticoid therapy
Adrenal insufficiency
PO
CORTISONE
Adrenal insufficiency
Inflammation
PO, IV, Rectal
HYDROCORTISONE
Anti-inflammatory
Immunosuppressive effect
PO, IM, IV
PREDNISOLONE
Anti-inflammatory
Anti-asthma
PO, IM, IV
BETAMETHASONE
Controlled by renin-angiotensin system
Promotes fluid balance by promoting renal reabsorption of sodium from renal tubules
Mineralocorticoids
Treatment for Cushing syndrome
Glucocorticoid Inhibitor
inhibit synthesis of glucocorticoid
PO
KETOCONAZOLE