Week 10 revised

Question 1

Teaching for patients administering their own insulin

Answer 1

rotate sites, administer 30 minutes before meals

Question 2

Signs of hypothyroidism

Answer 2

intolerance to cold, receding hairline, facial and eyelid edema, dull-blank expression, extreme fatigue, thick tongue, slow speech, anorexia, brittle nails and hair, dry skin, muscle aches, constipation, weight gain

Question 3

Signs of hyperthyroidism

Answer 3

fine, straight hair, bulging eyes, face flushing, enlarged thyroid, tachy, elevated systolic BP, breast enlargement, weight loss, finger clubbing, tremors, diarrhea

Question 4

signs of hypoglycemia

Answer 4

fast heartbeat, cold pale skin, shaking, sweating, nervousness, irritability, dizziness, hunger

Question 5

signs of hyperglycemia

Answer 5

increased thirst, urge to pee, tiredness, blurred vision, unintentional weight loss. recurring infection

Question 6

adverse effects of levothyroxine

Answer 6

rare; palpitations, dysrhythmias, anxiety, insomnia, weight loss, heat intolerance

Question 7

adverse effects of corticosteroids

Answer 7

sodium & fluid retention; CNS(insomnia, anxiety, headache, vertigo, confusion, depression), adrenal suppression, infection, long term can cause PUD & Cushing’s Syndrome

Question 8

Symptoms of cushings disease

Answer 8

round face, obese, round belly, stretch marks, skinny extremities, “buffalo hump-fat pad”, high HR, hypertension, rosy cheeks, poor wound healing, bruising, fractures, mood swings

Question 9

Medication to give for insulin toxicity

Answer 9

glucagon, glucose

Question 10

important electrolyte to follow in diabetics, especially those receiving insluin

Answer 10

sodium

Question 11

side effects of timolol eyedrops

Answer 11

local burning and stinging

Question 12

What can happen if timolol eye drops are not administered correctly

Answer 12

hypotension and dysrthymias

Question 13

side effects of Latanaprost eye drops

Answer 13

conjunctival edema, tearing, dryness, burning, pain, irritation, itching, photophobia, and visual disturbances; eyelashes may grow thicker and darker

Question 13

side effects of Latanaprost eye drops

Answer 13

conjunctival edema, tearing, dryness, burning, pain, irritation, itching, photophobia, and visual disturbances; eyelashes may grow thicker and darker

Question 14

herbal remedy for joint pain and degeneration

Answer 14

Glucosamine, chondroitin

Question 15

which medications interact poorly with gout treatments

Answer 15

thiazide diuretics, aspirin, cyclosporine, chronic alcohol use

Question 16

MOA of desmopressin

Answer 16

synthetic analog of ADH that acts on kidneys to increase the reabsorption of water

Question 17

which electrolytes can be affected by steroids

Answer 17

May decrease potassium, T3 and T4

Question 18

teaching for Aledronate (Fosamax)

Answer 18

empty stomach 2 hours before breakfast; must remain sitting upright for 30 minutes and
first meal is eaten to prevent esophagitis**

Question 19

ways in which we assess patients for osteoporosis

Answer 19

muscle spasms, localized pain ,stiffness, joint and bone enlargement

Question 20

beta adrenergic antagonist (blocker) eyedrops

Answer 20

timolol

Question 21

Prostaglandin analogs

Answer 21

Latanoprost

Question 22

which medications effect insulin absorption

Answer 22

ETOH, ASA, MAOI; antagonists: corticosteroids, thyroid hormone, epinephrine; increased glucose with furosemide & thiazides; symptoms of hypoglycaemia may be masked with beta blockers