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Drug therapy for endocrine disorders
medications
75
Nursing
Undergraduate 1
01/30/2023

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Term
all ADH hormone drugs promote
Definition
conservation of water
Term
all ADH hormone drugs can cause
Definition
water intoxication, inadequate tissue perfusion because of vasoconstriction
Term
use and action of desmopressin nasal spray, parenteral, oral preparations
Definition
treats DI, hemophilia, nocturnal diuresis, headache
Term
for all ADH hormone drugs, monitor for early signs of
Definition
water intoxication, drowsiness, listlessness, headache
Term
desmopressin nasal spray, parenteral, oral prep use and action
Definition
treats DI, hemophilia, nocturnal diuresis, headache
Term
desmopressin side effects
Definition
rhinorrhea, nasal irritation and congestion, dyspnea, hypertension, coronary vasoconstriction
Term
use and action of octreotide acetate, lanreotide
Definition
suppresses secretion of growth hormone, used to treat acromegaly
Term
side effects of octreotide acetate, lanreotide
Definition
n/v, diarrhea, headache, flushing, edema, dizziness, altered blood glucose, drowsiness, orthostatic hypotension, visual disturbances, cholelithiasis
Term
use and action fo bromocriptine
Definition
inhibits release of prolactin from anterior pituitary, suppresses lactation, restores ovulation, treats acromegaly, also used for parkinsons disease
Term
bromocriptine side effects
Definition
nausea, vomiting, constipation, hypotension, drowsiness, MI, pulmonary infiltrates, nasal stuffiness, vasoconstriction, anorexia, headache, visual disturbances, confusion
Term
dopamine agonist cabergoline use and action
Definition
prevent/inhibits secretion of prolactic, may lover GH secretion in some pts with acromegaly
Term
dopamine agonist cabergoline side effects
Definition
nausea, constipation, abdominal pain, headache, dizziness, asthenia, fatigue, drowsiness
Term
cabergoline is contraindicated with
Definition
uncontrolled hypertension
Term
pegvisomant use and action
Definition
used to treat acromegaly, prevents GH from exerting effects on body tissues
Term
pegvisomant side effects
Definition
infection, pain, injection site reaction, chest pain, back pain, flu syndrome, abnormal liver function tests, diarrhea, dizziness, edema, sinusitis
Term
pegvisomant is contraindicated with _____ because vial stopper contains ____
Definition
latex allergy, latex
Term
GH receptor antagonist
Definition
pegvisomant
Term
tolvaptan use and action
Definition
hyponatremia in pts with normal blood volume, may be used for SIADH
Term
tolvaptan side effects
Definition
atrial fibrillation, nausea, vomiting, dry mouth, constipation, hematuria, anemia, dehydration, electrolyte imbalances, pain and redness at injection site
Term
vasopressin receptor antagonists
Definition
tolvaptan
Term
fludrocortisone use and action
Definition
stimulates reabsorption of sodium and excretion of potassium and hydrogen ions in renal tubules, used to treat adrenal insufficiency
Term
fludrocortisone side effects
Definition
hypokalemia, nausea and vomiting, edema, hypertension, muscle, weakness, dizziness, tendon contractures
Term
glucocorticoid use and action
Definition
stimulate formation of glucose, promote storage of glucose as glycogen, affect fluid and electrolytes, increase hemoglobin, suppress inflammation, used to treat adrenal insufficiency, some also have mineralocorticoid effects
Term
glucocorticoids side effects
Definition
hypokalemia, hypocalcemia, n/v, edema, htn, increased risk of infection, hyperglycemia, muscle wasting, osteoporosis, ulcer development, acne, pathologic fractures, may cause death if suddenly discontinued
Term
give oral glucocorticoids with
Definition
food or milk
Term
glucocorticoids
Definition
dexamethasone, prednisolone, flucinolone, fluorometholone, iotoprednol, medrysone, rimexolone
Term
mitotane use and action
Definition
suppresses adrenocortical function
Term
mitotane side effects
Definition
n/v diarrhea, lethargy, dizziness, hypouricemia, hearing and vision disturbances, BP changes, dyspnea
Term
mitotane pt should avoid
Definition
ppl with polio and those who have recently had, DPT vaccine
Term
ketoconazole use and action
Definition
fungistatic, suppresses adrenocortical function
Term
ketoconazole side affects
Definition
nausea and vomiting, pruritus, diarrhea or constipation, GI bleeding, lethargy, headache, dizziness, adrenocortical insufficiency, thrombocytopenia, hemolytic anemia hepatotoxicity
Term
levothyroxine use and action
Definition
treat hypothyroidism and thyroiditis
Term
levothyroxine side effects
Definition
irritability, insomnia, nervousness, tachycardia, diarrhea, weight loss
Term
methimazole use and action
Definition
treat hyperthyroidism by interfering with the synthesis of thyroid hormones
Term
methimazole side effects
Definition
agranulocytosis, rash, thrombocytopenia, skin discoloration, fever, headache, drowsiness, diarrhea, nausea and vomiting
Term
saturated solution of potassium iodide use and action
Definition
reduces size and vascularity of the thyroid gland in hyperthyroidism, may be used before thyroidectomy
Term
SSKI side effects
Definition
excess iodine, fever, rase, oral lesions, metallic taste, diarrhea, parotitis, hypothyroidism
Term
For SSKI
Definition
dilute liquids in water, fruit juice or milk
Term
radioactive iodine use and action
Definition
used in thyroid scans, a higher therapeutic dose destroys thyroid tissue in hyperthyroidism and thyroid malignancies
Term
radioactive iodine side effects
Definition
therapeutic dose: n/v
Term
vitamin D use and action
Definition
treatment of hypoparathyroidism, osteomalacia, prevention of vitamin D deficiency
Term
vitamin D side effects
Definition
early toxicity, weakness, fatigue, GI disturbances, anorexia, constipation, severe hypercalcemia, polyuria, nocturia, proteinuria, seizures, confusion, ataxia, cardiac dysrhythmias
Term
calcium salts action and use
Definition
treatment of hypoparathyroidism along with vitamin d
Term
calcium salts side effects
Definition
high doses can cause hypercalcemia
Term
calcium salts:
Definition
acetate, carbonat,e citrate, glubionate, gluconate, lactate, tricalcium, phosphate
Term
sulfonylureas use and action
Definition
stimulates pancreatic secretion of insulin
Term
sulfonylureas side effects
Definition
hypoglycemia, weight gain, sulfa allergy, hepatotoxicity, blood dyscrasias, photosensitivity, serious hypersensitivity
Term
sulfonylureas
Definition
glipizide, glyburide, glimepiride
Term
biguanides use and action
Definition
inhibits hepatic glucose production, increases insulin sensitivity, initial therapy for type 2 DM
Term
Biguanides side effects
Definition
lactic acidosis, hypoglycemia when used with sulfonylurea or meglitinide
Term
biguanides
Definition
metformin
Term
meglitinides use and action
Definition
stimulates pancreatic secretion of insulin
Term
meglitinides side effects
Definition
hypoglycemia, weight gain
Term
meglitinides
Definition
repaglinide, nateglinide
Term
pioglitazone use and action
Definition
increases insulin sensitivity in the tissues
Term
pioglitazone side effects
Definition
hypoglycemia when used with sulfonylurea or meglitinide, weight gain, decreased effectiveness of oral contraceptives, possible liver dysfunction, risk of heart failure and death in geriatric patients
Term
alpha-glucosidase inhibitors use and action
Definition
delays absorption of carbs in the intestine
Term
alpha glucosidase side effects
Definition
gi side effects, may cause hypoglycemia if taken with insulin or sulfonylureas, weakness, hunger, tremors, sweating, tachycardia
Term
alpha glucosidase inhibitors
Definition
acarbose, miglitol
Term
thiazolidinediones
Definition
pioglitazone
Term
Dipeptidyl peptidase- 4 inhibitors use and action
Definition
increases insulin production and decreases hepatic glucose production
Term
Dipeptidyl peptidase- 4 inhibitors
Definition
sitagliptin, saxagliptin, alogliptin, linagliptin
Term
Dipeptidyl peptidase- 4 inhibitors side effects
Definition
occasional stomach upset and diarrhea, headache, peripheral edema, hypoglycemia, can cause pancreatitis, acute renal failure, anaphylaxis
Term
Insulin use and action
Definition
used to treat DM
Term
insulin side effects
Definition
hypoglycemia, blurred vision, dry mouth flushing, rash, urticaria, lipodystrophy, lipohypertrophy, peripheral edema
Term
pituitary hormone suppressants
Definition
octreotide acetate, lanreotide, bromocriptine, dopamine agonist, GH receptor antagonist, vasopressin receptor
Term
ADH hormone prep
Definition
desmopressin
Term
adrenal glucocorticoid hormones
Definition
dexamethasone, prednisolone, fluocinolone, fluorometholone, loteprednol, medrysone, rimexolone
Term
adrenal mineralocorticoids
Definition
fludrocortisone
Term
adrenocortical cytotoxic agent
Definition
mitotane
Term
antifungal agent
Definition
ketoconazole
Term
thyroid hormone replacement drug
Definition
levothyroxine
Term
thioamides
Definition
methimazole
Term
drugs for hypoparathyroidism
Definition
vitamin D, calcium salts
Term
drugs for DM oral hypoglycemics
Definition
sulfonylureas, biguanides, meglitinides, thiazolidinediones, alpha glucosidase, Dipeptidyl peptidase- 4 inhibitors, sodium glucose
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