TERM 2-MY NOTES CORE CONCEPTS OF PHARMOCOLOGY CH.31 "Drugs for Endocrine Disorders" Flashcards Preview

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Flashcards in TERM 2-MY NOTES CORE CONCEPTS OF PHARMOCOLOGY CH.31 "Drugs for Endocrine Disorders" Deck (15):
1

Insulin affects carbohydrate. fat. and protein metabolism in most cells of the body. One of its most important actions is to assist in glucose transport. Without insulin, glucose cannot enter a cell. Cells may be swimming in glucose. but it cannot enter and be used for fuel by the cell with- out insulin. The brain is an important exception, not requiring insulin for glucose transport. Insulin is said to have a hypoglycemic effect because its presence causes glucose to leave the bloodstream and enter cells.
A)true
B)false

A

2

When levels of glucose is low, glucagon is secreted. Its primary function is to maintain adequate levels of glucose in the blood between meals. It has a hyperglycemic effect: its presence moves glucose from cells. primarily in the liver, to the bloodstream.
A)true
B)false

A

3

Regarding Corticosteroids

1. When taking oral corticosteroids for more than 2 weeks, do not miss doses or discontinue the drug without consulting a health care provider.

2. See a physician if any infections, cuts, or injuries appear to be healing abnormally slowly while on corticosteroids.

3. If taking hydrocortisone for replacement therapy, take the medication between 6:00 a.m. and 9:00a.m. because this is the time when natural corticosteroids are released.

True

4

Regarding Diabetic Medications

4. When taking insulin or oral hypoglycemics, report any signs of hypoglycemia, such as weakness, sweating, dizziness, tremor, anxiety, or tachycardia, to a health care provider immediately. Mild symptoms may be treated with small amounts of sugar in the form of candy or fruit juice.

5. Always take insulin or oral hypoglycemics at the same time each day.

6. When self-monitoring blood glucose, recall that normal values are 80 to 120 mg/dl before meals, and 100 to 140 mg/dl before bedtime.

7. Store unopened vials of insulin in the refrigerator. Do not use after the expiration date.

8. If taking insulin or oral hypoglycemics, read the directions for all medications very carefully because many drug-drug interactions are possible. Medications such as corticosteroids, thiazide diuretics, and sympathomimetics can raise blood glucose levels and inhibit the effects of insulin.

9. If diagnosed with diabetes mellitus, check with a health care provider before beginning a vigorous exercise program. Often, insulin doses should be reduced or extra food should be ingested just prior to intense exercise.

10. If self-injecting insulin is used, follow all instructions provided by the health care provider carefully to avoid injury or infection.

True

5

Regarding Thyroid Medications

11. Because pulse rate is a good indicator of the effectiveness of thyroid medications, take it regularly. If the pulse rate consistently exceeds 100 or any other significant change is noted, contact the health care provider.

12. Because finding the correct dosage of thyroid hormone often takes several months, do not change the prescribed dose without being advised to do so by a health care provider.

True

6

Drugs for Endocrine Disorders

,

12

Wipe out cancer in the bone marrow neupogen and epogen
A)true
B)false

A

13

Type 2 DM is an autoimmune disorder
A)true
B)false

A

14

Insulin is always a sub q injection
A)true
B)false

A

15

70/30 = NPH 70/ regular 30

True

16

Precose can give to GI disorders
A)true
B)false

A

17

Glipizide is for lactic acidosis
A)true
B)false

A

18

Take iodine with thyroid
A)true
B) false

A

19

Luguls solution is a potassium iodine and iodine
A)true
B)false

A

20

Corticosteroids patient might gain weight, can't stop talking, an can be severe at a low dose, have to give 600U-900U
A)true
B)false

A