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Flashcards in Chapter 51endocrine Drugs Deck (39):
0

Anterior pituitary gland
Adenohypophysis
Neurohyphophysis

Adenohypophysis

1

Cortisol hormone secreted from the adrenal cortex
Glucocorticoid
Mineralocorticoid

Glucocorticoid

2

Pituitary gland
Neurohyphophysis
Adenohypophysis
Hypophysis

Hypophysis

3

Aldosterone hormone secreted from the adrenal cortex
Glucocorticoid
Mineralocorticoid

Mineralocorticoid

4

Severe hypothyroidism in adults

Myxedema

5

Posterior pituitary gland

Neurohyphophysis

6

T4 hormone secreted by thyroid gland
Triiodothyronine
Thyroxine

Thyroxine

7

T3 hormone secreted by the thyroid gland
Triiodothyronine
Thyroxine

Triiodothyronine

8

Increases sodium retention and increases bp
Glucocorticoid
Cortisone

Cortisone

9

Promote loss of potassium
Cortisone
Glucocorticoid

Glucocorticoid

10

What crisis occurs if cortisone is stopped abruptly

Adrenal

11

Weight gain or weight loss occurs with cortisone

Weight gain as a result of water retention

12

Promotes sodium retention, potassium loss and increased blood glucose
Cortisone
Glucocorticoid

Glucocorticoid

13

Promotes loss of muscle tone and loss of calcium from bone
Cortisone
Glucocorticoid

Cortisone

14

What side effects occur with high doses of glucocorticoid

Moon face
Puffy eyelids
Edema in feet
Dizziness
Menstrual irregularities

15

Irritate gastric mucosa and may cause peptic ulcers
Cortisone
Glucocorticoid

Glucocorticoid

16

Adrenal hypo secretion

Hypoglycemia
Fatigue
Hypotension

17

Adrenal hypersecretion

Hyperglycemia
Buffalo hump
Seizures
Impaired clotting
Cataract formation
Hypervolemia
Peptic ulcer

18

Maintenance dose of Synthroid

50-200 mcg/day

19

After starting Synthroid how soon should you feel effects
3-4 days
4-7 days
1-2 weeks
2-4.weeks

2-4 weeks

20

Normal dose of Synthroid initially

25-50 mcg/ day

21

Symptoms of hyperthyroidism

Chest pain
Excessive sweating
Tachycardia

22

Foods to avoid with hypothyroidism that inhibit thyroid secretions

Strawberries
Radishes
Peas

23

What time of day teach patient to take levothyroxine
Before breakfast
With breakfast
After breakfast
With lunch

Before breakfast

24

Primary info to include in teaching plan for patient with hypothyroidism

Avoid otc drugs
Wear a medic alert info device

25

What is usual dose of predisone
60-100
100-125
5-60

5-60 mg daily

26

What lab value needs to be monitored closely when taking prednisone
Hematocrit
Hemoglobin
Magnesium
Potassium

Potassium

27

Best time to take prednisone
Before meals
With meals
1 hour after meals
At bedtime

With meals

28

Drugs that should be used with caution when taking a glucocorticoid

Nonsteroidal anti inflammatory drugs
Aspirin
Oral anticoagulants
Phenytoin
Potassium wasting diuretics

29

What are the primary nursing interventions in care of a patient taking prednisone

Monitor vital signs
Obtain a complete med hx
Record daily weight

30

What imbalance may occur with herbal laxatives such as cascara or senna and herbal diuretics such as celery seed or juniper when taken with a corticosteroid
Hypoglycemia
Hypokalemia
Hyponatremia

Hypo kalmia

31

What changes can occur when ginseng is taken with a corticosteroid

CNS stimulation
Insomnia

32

Drug used for a procedure to diagnose adrenal gland dysfunction

Acthar

33

To avoid potassium loss which foods would you eat

Nuts
Meats
Vegetables
Dried fruits

34

Which drugs interact with Synthroid

Anticoagulants
Digitalis
Oral antidiabetics

35

Side effects of prednisone

Edema
HTN
Increased blood sugar
Mood changes

36

What signs and symptoms are associated with adrenal insufficiency

Muscle wasting
Apathy
Nausea
Vomiting
Electrolyte imbalances
Hypovolemia
Anemia
Cardiovascular collapse

37

What is the dosage of hydrocortisone and how is it administered

20-240 mg daily in 3-4 divided doses orally. Can also be given IV or suppository

38

Priority teaching for adrenal insufficiency

Monitoring vital signs and weight
Compliance with medication regimen
Don't stop taking a glucocorticoid abruptly
Watch for signs of overdose or Cushing's syndrome (moon face, weight gain, puffy eyelids, edema)
Carry medic-alert
Herbal preparations avoided unless discussed with physician or pharmacist