Pharmacology Final Flashcards by Delina Castro

What Medication controls T4 Increases thyroid levels

Levothyroxine

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What Does Levothyroxine Do?

Control Body Metabolism

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Uses of Levothyroxine

Hypothyroidism

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What is the drug of choice for hypothyroidism condition ?

Synthroid

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Should a client change brands of thyroid replacement drugs?

NEVER!!!

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The most common adverse reactions of Levothyroxine/synthroid

Hyperthyroidism
Toxicity/overdose

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Levothyroxine Contraindications

Thyrooxicosis
Recent MI
Cardiac HX

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Interactions of Synthroid and insulin or oral anti diabetics?

Increases risk for hyperglycemia
Increases blood sugars

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Interactions of Synthroid with and anticoagulant?

Increased risk for bleeding

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PTU

Pro pill Theo racil

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PTU Actions

Decreases thyroid levels
Inhibits the manufacture of thyroid hormones

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PTU Uses

Treatment of hyperthyroidism

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Examples of hyperthyroidism Medications

PTU
Methimazole

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What is a treatment for cancer of the thyroid?

Radioactive Iodine 131 I

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PTU adverse reactions

Destroys thyroid cells

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Ongoing assessment anti thyroid treatment

Check for signs and symptoms of infection-agranulocytosis

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Possible adverse reactions of PTU

Hypothyroidism

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Signs and symptoms of thyrotoxicosis

High fever
Tachycardia
Diarrhea
Vomiting and altered mental status

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How long will it take for the full effects of the thyroid replacements hormones?

24-48 hours

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What are some therapeutic effects?

Reversal of hypothyroid symptoms

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How are thyroid hormone replacement are administered

Every morning before breakfast on an empty stomach for life

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When on thyroid hormone replacement closely monitor the patient with diabetes for what?

Hyperglycemia

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When on thyroid hormone replacement closely monitor the patient with CV disease for what?

MI-CAD

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Tapazole and PTU: what are some daily nursing actions?

Daily weight

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Thyroid hormone replacement therapy is

Every morning FOR LIFE!

Take Synthroid when?

Before breakfast on empty stomach

What symptoms should a client notify a physician while taking synthroid

Signs of hyperthyroidism Signs and symptoms of infection

Do not change ____________ without calling the MD!!!!!!

brand or trade names

Levothyroxine

Synthroid

Methimazole

Tapazole

Hematologic adverse reactions

Bone suppression

Red cells

Anemia

Infection

White cells

Platelets/ bleeding

Blue cells

because the signs and symptoms of hyperthyroid (tachycardia)

Client might be started on a beta blocker To decrease the heart rate

Hyperthyroidism Signs and symptoms

Wide pulse pressure Lid lag Sweating Neurotic anxiety Fine tremor Strong rapid pulse Sbrisk reflexes Low LDL Diarrhea Weight loss despite increase of Appetite Osteoporosis Atrial fibrillation

Hypothyroidism signs and symptoms

Slowing of mind and body Weak heartbeat Constipation Myxedema Slow reflexes Hair thinning Depression “schizophrenia” irritability Big tongue Croaky voice Dry skin Cold skin Cold intolerance

Immunostimulants actions

Stimulates the body to make more r-w-b cells (hematopoiesis)

Immunostimulants adverse reactions

Bone pain Hypertension Nausea / vomiting Alopecia

What is anemia

Decreased HGB with low oxygen levels in RBC

Erythropoiesis stimulants agents do what?

Stimulates/regulates production of RBC

Epstein is contraindicated in clients with

Uncontrolled hypertension

Immunostimulants use cautiously in clients with

Hypertension CHF Or HX of seizures

Iron deficiency anemia adverse reactions

GI irritation n/v Constipation and dark black stools

Why do we need vitamin B12

Cell growth Myelin development for nerve fibers

What are some vitamin B12 food sources

Meats Milk Eggs Cheese

Precautions for b12

Pulmonary disease

Early diagnosis of vitamin b 12 deficiency if continues for more than 3 months

Lesions on the spinal cord may develop

How is B12 given

Parenterally and weekly via Z track injection

Where is b 12 given

IM large muscle mass

Educating the clients about iron

Take with water on empty stomach!!!! DO NOT take with antacids Mix with juice and drink through a straw

Why spread out dosages evenly?

May cause CONSTIPATION!

why should a client mix the liquid iron with juice or drink with a straw

To prevent staining of the teeth

Adverse reaction with neupogen

Bone pain Nausea Vomiting Diarrhea

Which clients are contraindicated in taking Epogen or procrit

CHF Seizures Hypertension

Immunosuppressants

For autoimmune disease reducing organ rejection

Immunosuppressant drugs suppress and __________ the immune system

Regulate

Filgrastim

Neupogen

Pegfilgrastim

Neulasta

Epogen

E poitin Alfa

Procrit

Epogen

Cyanocobalamin

B12

Imuran

Azathioprine rheumatoid arthritis

Sandimmune

Cyclosporine

Humira

Adalimumab

Otezla

Apremilast

Remicade

Infliximab

What is the antidote of heparin?

Protamine sulfate

CNS depressant given antihistamine

Monitor sedation

What are the signs of benzodiazepine not adverse reactions?

Metallic taste

Hypercalcemia, specific, potassium, sparing, diuretics for

Cirrhosis patient

When is thyroid medication administered?

Before breakfast on an empty stomach

Anemia low iron patient getting iron supplement adverse reaction

Black tarry stool

Parental administration IM

Z track

Give opioid to a patient opioid therapy non-contraindication

Bronchial asthma

One thing you know it’s true about Narcan

Competing

When given nitroglycerin use

Gloves

In general fluid and electrolyte dehydration

Dry mouth, muscle pains tachycardia, leg pain

When to notify doctor

PT 2.5 INR greater than three there’s bleeding PT exceeds 1.5 control value.

Stuff makes you puke, seizure corrosive Kostic

Comatose

What not to use with IBS?

Laxatives

Hypnotic drugs

Drowsiness or sleep

Antidepressant block

Serotonin

Rare reaction, potentially fatal

Neural malignant syndrome

Which anticonvulsant hyperplasia

Phenytoin/Dilantin

Face movements, involuntary

Tardive dyskinesia

Beta adenergetic acting

Treat, hypertension

Before administering beta adenergic drug take

Blood pressure on both arms

Carbidopa common adverse reactions

Unsteady movement, dry mouth, anorexia

What best describes type one diabetes

Insulin before age 20

What are common side effects of hypo thyroidism?

Weight gain, sleepiness, bradycardia

Always do what

Verify the prescription

Pharmacology Final Flashcards

(92 cards)