Term
| Growth Hormone Treat grwth horm def or inadeq grwth horm secr |
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Definition
Humatrope
hypercalciuria (risk renal calculi→kidney stns); 3-5”/2 yrs |
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Term
ADH-Antiduretic Hormone
Treat Diabetes Insipidus (excessive thirst & urination w/dilute urine) |
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Definition
Desmopressin
Vasopressin
↑BP, fl ret; daily wt; strict I&O |
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Term
Thyroid Hormones
Treat Hypothyroidism |
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Definition
Synthroid
↓wt, diarrhea, tachycardia
Monitor toxicity/overdose |
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Term
Antithyroid Meds
Treat Hyperthyroidism |
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Definition
PTU
Tapazole
Iodine
↑ wt, const, bradycardia
Monitor toxicity/overdose |
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Term
Mineralcorticoids
Treat adrenal gland failure or hyposecretion; retain Na+ & water, release K+ |
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Definition
Fludrocortisone
Na+ & fl ret; immunosupp; Dose slowly tapered; eat K+ rich foods |
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Term
Glucocorticoids
Treat Addison’s disease (↓cortisol or ACTH); ↑carb, protein, fat metabolism |
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Definition
Cortisone
Na+&fl ret; immunosuppr,Cushingoid Syn |
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Term
ACTH - Adrenocorticotropin Hormone
Treat Addison’s disease (↓secretion of cortisol or ACTH)
Enhance secr ACTH |
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Definition
Corticotropin
Na+ & fl ret; immunosuppr |
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Term
Ca Citrate (Citracal)
Treat mild hypocalcemia &
suppl dietary Ca |
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Definition
| Calcium Citrate (Citracal) |
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Term
Vitamin D
Treat hypocalcemia or vit D def |
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Definition
Calcitrol
Adv: hypercalcemia (ataxia, irritable, szs, tinnitus, HTN) |
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Term
Insulin
Treats Type I & Diabetic Ketoacidosis; corrects hyperglycemia by restoring ability of cells to use glucose |
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Definition
| Interacts: ASA, alc, beta blkrs, corticosteroids, |
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Term
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Definition
| ↓60 mg/dl→irritable, h/a, hunger, tachycardia, diaphoresis |
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Term
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Definition
Humalog, Novolog
O=15-30m
P=1-1.5h
D=3-4h |
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Term
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Definition
Regular, Humulin R, Novolin R
O=30m-1h
P=2-3h
D=4-6h |
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Term
| Insulin Intermediate-Acting |
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Definition
NPH, Lente
O=2-4h
P=4-12h
D=16-20h |
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Term
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Definition
Ultralente, Lantus, Levemir
O=1h
P=none
D=24h |
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Term
Oral Antidiabetic Agents
Treat Type 2 Diabetes Mellitus; Helps pancreas produce more insulin |
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Definition
| Interacts: alc, beta blkrs, corticosteroids, coumadin |
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Term
Oral Antidiabetic Agents
Sulfonylureas: stimulate rel insulin from Islets of Langerhans/Pancreas |
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Definition
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Term
Oral Antidiabetic Agents
Biguanide: ↓ prod glucose by liver = ↓blood glucose |
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Definition
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Term
Oral Antidiabetic Agents
Α-Glucosidase Inhibitors: delay absor carbs = ↓blood glucose |
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Definition
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Term
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Definition
| ↑250 mg/dl→lethargic, flushed, deep respir (Kussmaul), fruity breath |
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Term
Glucose Elevating Meds
Promotes breakdown glycogen, ↓glycogen synthesis, stim synthesis glucose
Emer treat severe hypoglycemia |
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Definition
Glucagon
Absorbed rapidly (PO, SC, IV)
Table sugar avoided |
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Term
Estrogens
Menopause & Osteoporosis
Hormone replacmt therapy (HRT) |
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Definition
Estrace
↑skin pigment, ↑wt, fl ret, h/a, HTN, breast tender, chg in libido; Ck s/s thromboembolism→calf tender, redness, warmth; CK s/s pulmonary embolism→SOB, chest pain, anx; Inj-deep IM |
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Term
Progestins
Treat amenorrhea, breast & renal cancer; post-menop syn
Chgs endometrium in prep implant embryo |
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Definition
Depo-Provera
Norplant
Bkthru bldg, spotting, altered menst flow, amenorrhea, breast tender, galactorrhea, vag candidiasis, acne, ↑wt; Ck s/s thromboembolism & pul embolism |
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Term
Oral Contraceptives
↓ incidence of ovulation to prevent conception |
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Definition
| GI Upset, acne, h/a, dizzy, ↓libido, fl ret, edema; Interacts: antibiotics, anticonvul, anticoag, alc; ↑risk thromboembolism→calf tender, redness, warmth |
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Term
| Oral Contr - Monophasic: Same amt estrogen & progestin @ pill |
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Definition
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Term
| Oral Contr - Biphasic: Fixed estrogen dose + low progestin dose @ pill |
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Definition
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Term
| Oral Contr - Triphasic: 3 diff estrogen & progestin doses thruout pill pack |
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Definition
Ortho-Novum 777
Tri-Levlen |
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Term
Fertility Medications
Stim ovulation or follicular maturation |
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Definition
Clomid
↑HR, DVT, ovarian hyperstimulation; self-admin drugs |
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Term
Uterine Stimulants
aka “Oxytocics”; Induce labor, enhance labor |
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Definition
Oxytocin (Pitocin)
ut cramp, ↓HR fetus, postpartum hemorrhage; Toxicity: ut rupture; ↑risk hyperbilirubinemia newborn
Monitor contractions & cervical dilation & fetal HR/BP |
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Term
Uterine Relaxants
Aka “Tocolytics”
Inhibit contractions preterm labor |
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Definition
Terbutiline Sulfate
maternal & fetal palpitations, tachycardia, tremors; Position pt left lateral recumbent ↓hypotension & ↑renal blood flow
Monitor ut act & fetal HR during IV |
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Term
Ergot Alkaloids
Control post-partum hemorrhage |
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Definition
Ergonovine
↑BP, ut cramp, ↓ milk; no smoking (↑vasoconstriction); explain med purpose |
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Term
Prostaglandins
Terminate preg 12th wk - 2nd trimester |
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Definition
Dinoprostone
N/V/D, ut cramp |
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Term
Peripheral Vasodilators
Male pattern baldness/alopecia |
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Definition
Rogaine
Tachycardia, fl ret, ↑wt |
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Term
| Anabolic Steroids Dev to replace androgens; enhance perform athletes |
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Definition
Androl-50
Female: ↓voice, male pattern hair distr, menses irregular, acne, ↑libido, ↑clitoris Male: gynecomastia, priapism, ↑libido, oligospermia Children: retarded growth, premature closure growth plate, precocious puberty NC: Monitor for hepatoxicity, daily wt |
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Term
| Medications for Erectile Dysfunction ↑corpus cavernosus arterial inflow & ↓venous outflow, resulting in erection |
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Definition
Viagra
Vardenafil
priapism, excess sexual stim DO NOT TAKE w/ drugs w/ nitrates; 1 hr b/f sex |
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Term
Meds Benign Prostatic Hyperplasia (BPH)
Blk alpha 1 receptors prostate→relax sm muscles, improve urine flow & ↓symptoms BPH
Aka 5α-Reductase Inhibitors |
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Definition
Proscar
Flomax
impotence, ↓libido, ↓semen vol, hypotension; RO prostate cancer b/f therapy, monitor BP, urine vol |
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Term
| Oral contraceptives: other preps |
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Definition
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Term
Magnesium Sulfates
Stop preterm labor & prevent seizures with preeclampsia & eclampsia |
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Definition
Magnesium Sulfate
Drowsy, ↓deep tendon reflex, ↓hand grasp, N/V, hyponatremia
Monitor hand grasp, deep tendon reflex, RR, serum Mg, monitor IV extravasation |
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