Unit 3,4 and 5

Question 1

Parathyroid Medication/ Calcium regulator

Answer 1

Calcitonin

Question 2

Hypocalcemia

Answer 2

Tetny, muscle twitched and cardiac dysrythmias

Question 3

Hypercalcemia

Answer 3

N/V

Question 4

Posterior Pituitary Hormone Regulator

Answer 4

Desmopressin (DDAVP)

Question 5

Desmopressin Drug interference

Answer 5

Alcohol, Grape fruit juice and too much water (Limit fluid intake 1 hr before bed)

Question 6

Desmopressin Therapeutic effects

Answer 6

Retain water = less urine = stop bed wetting

Question 7

Steroid Hormone antagonist

Answer 7

Aminoglutethimide (cytadren)

Question 8

Cytadren pt teaching (s/s)

Answer 8

Drowsiness, dizzy, rash, n/v usually disappears in 1-2 weeks.

Hypotension, tachycardia, GI

Question 9

Drugs to treat prostatic hypertrophy (BPH)

Answer 9

Finasteride (proscar)

Question 10

Proscar precautions

Answer 10

Wear gloves, pregnancy x (don’t even touch)

Question 11

Antithyroid (hyperthyroid)

Answer 11

methimazole (Tapazole)

Question 12

Tapazole s/s to report

Answer 12

sore throat, unusal bleeding bruising and malaise.
Hypothyroid (fatigue, cold, constipation, wt gain

Take with food (GI)

Question 13

Glucocorticoid drug

Answer 13

prednisone

Question 14

Prednisone Teaching

Answer 14

Monitor glucose
infection
bones
don’t stop abruptly (wean)

Question 15

Growth hormone (a.pituitary)

Answer 15

Somatropin (humatrope)

Question 16

Somatropin Complications

Answer 16

Monitor thyroid (hypothroid) and glucose (insulin resistance/hyperglycemia)
growing pains (bone pain)

Question 17

Somatropin teaching on administration

Answer 17

Injection (sub q and IM)

Question 18

Parathyroid effect on electrolyes

Answer 18

Calcium and phos. Sodium and Potassium if n/v

Question 19

What regulates thyroid hormones

Answer 19

hypothymus pit thyroid (PTH feedback sytem)

Question 20

Prednisone monitoring

Answer 20

Glucose
infection
bones

Question 21

Mineralocorticoid drug

Answer 21

Fludrocortisones (florinef, actetate)

Question 22

Fludrocortisones (florinef, actetate) monitoring

Answer 22

Blood pressure (sodium retention and potassium excretion) Low sodium/High potassium diet

Liver

Question 23

Drug for Irritable Bowel syndrome

Answer 23

Alosetron (lotronex)

Question 24

Alosetron (lotronex) uses

Answer 24

women with Irritable bowel syndrome

Question 25

Alosetron (lotronex) s/s of complications

Answer 25

Only use with diarrhea not constipation | constipation = toxic mega colon

Question 26

Inflammatory Bowel disease drug

Answer 26

Mesalamine (Asacol) 5 ASA

Question 27

Mesalamine uses

Answer 27

Ulcerative colitis and off label crohns

Question 28

Mesalamine drug interactions

Answer 28

asprin

Question 29

Lipases Inhibitors (wt loss)

Answer 29

Orlistat (xenical) (alli)

Question 30

Orlistat pt teaching

Answer 30

no more tan 30% fat (oily spotting, sharting, fecal incontinence) fat soluble vitamins

Question 31

Digestive Enzymes

Answer 31

pancrelipase (pancrease)

Question 32

Pancrelipase (Pancrease) uses

Answer 32

help with digestion | cystic fibrosis, pancreastic insufficiency, GI surgery

Question 33

PPI

Answer 33

Omeprazole (Prilosec)

Question 34

Omeprazole (Prilosec) pt teaching

Answer 34

Dont crush, chew or break. | take before eating

Question 35

H2 receptor antagonists

Answer 35

Ranitidine (Zantac)

Question 36

GI stimulants

Answer 36

Metoclopramide (Reglan)

Question 37

Reglan Complications

Answer 37

Tardive dyskinesia (parkinson-like symptoms) and depression (hold drug and notify prescriber)

Question 38

TPN line care

Answer 38

solution and tubing changes every 24 hours

Question 39

TPN policy on administration

Answer 39

always use pump, no piggy backing, sterline dressing change every 72 hours.

Question 40

TPN uses

Answer 40

Replenish protein, normalize lab values, bowel rest, improve quality of life