Endocrine

Question 1

Levothyroxine (synthroid)

Answer 1

Hormone replacement for hypothyroidism
Goal wanted: increase appetite, increase stool not constipation, weight loss and increase heart ❤️ rate.
Nursing considerations📢📢📢📢📢
Start on a lower dose; walk up ladder- to prevent hyper-metabolic
Teach patients that it might take 1 to 12 to reach its therapeutic states
Teach patients that dosage start slowly and increases 2-3weeks
Monitor patient on warfarin/Coumadin
Also it increases patient need for insulin, so diabetic patient may need an increase in their dosage

MONITOR PALPITATIONS, DIZZINESS, TREMORS

Question 2

Glipizide (glucotrol)

Answer 2

Oral hypoglycemic taken to decrease hyperglycemia

Caused photosensitivity in patient

Question 3

liothyronine sodium

Answer 3

liothyronine sodium is thyroid replacement; monitor for signs and symptoms of hyperthyroidism; palpitations are a symptom of hyperthyroidism.
Must do📢📢📢📢
Meds should be taken in the morning. ❤️ rate should increase-tachycardia

Question 4

Hyperglycemic hyperosmolar syndrome (HHS)

Answer 4

Blood glucose are >600, PH >7.30 or normal, serum bicarbonate >18mEq/L

Question 5

Cortisone/ Prednisone

Answer 5

Long term cortisone therapy can cause weak bones leading to osteoporosis, weakness, muscle wasting, alopecia, buffalo hump, obesity, mood swings, slow wound healing.
Others S/S:
Immunosuppression( decrease WBC, decrease RBC)
Do not discontinue abruptly
Take in the morning
Fluid retention
Avoid Vaccination
Can result in hypokalemia ( avoid salt substitute)
Can be taken with food to reduce gastrointestinal irritation

Question 6

Heparin

Answer 6

Never message
Give in abdomen
Never aspirate- prevent bruising
Used 25-27 gauge, 3/8 -5/8 inch needle

Question 7

Urine glucose reagent strips

Answer 7

Dip the strips into the urine and compare the color change to the color on the container. Should be done 10 to 20 minute after the first specimen