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53 Cards in this Set
- Front
- Back
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Why would a pt need DDAVP (desmopressin)?
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DDAVP is used in pt with DIABETES INSIPIDUS and abdominal distention
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What is DDAVP?
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It is a man-made form of the hormone vasopressin.
it regulates the reabsorption of water by the kidneys |
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How is DDAVP administered?
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it is given:
orally intranasal SQ |
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Is sinusitis a reason to change your way of receiving DDAVP?
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YES. Membanes are affected. Will not be able to get to the brain.
DO NOT USE INTRANASAL DRUGS IN SINUSITIS. |
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Pt on DDAVP intranasal spray has increased thirst. What does this mean?
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The drug is not working.
Nasal spray is on an "AS NEEDED" basis. Call Dr. if still not working |
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Is DDAVP a pituitary hormone?
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YES.
Posterior Pituitary Hormone: Vasopressin |
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How does Vasopressin work with diabetes insipidus?
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It increases reabsorption of water in the kidney's tubules.
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Why should you monitor for weight gain in a short period of time when taking DDAVP?
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Weight gain is a sign of water intoxcation. CALL DOCTOR
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Why is angina contraindicated when taking vasopressin?
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If having angina
this will make symptoms worse |
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What is Clomid (clomiphene)?
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nonsteroidal OVARIAN STIMULANT
used for infertility. stimulates the ovaries |
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What would happen with the urine output if a pt was taking Pitressin (vasopressin) and the medication was working?
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increased urine output
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Why would a pt on Ovidrel (choriogonadotropin alfa) need regular ultrasound check-up?
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Ovidrel is an OVARIAN STIMULAN
must observe for symptoms of over stimulation of the ovaries SUDDEN OVARIAN ENLARGEMENT |
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What are expected side effects of Clomid?
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may cause
weight gain increased appetite constipation |
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What should you do if you are taking Cetrotide (cetrorelix) and are having visual problems?
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drug therapy is discontinued if pt complains of visual disturbances
discontinue drug and refer to opthalmologist |
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What are increased urination increased hunger and increased thirst a concern for a 10-year-old pt on growth hormone therapy?
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these are hallmark signs and symptoms of diabetes.
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What is Somatropin (somatotropic hormone)?
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it regulates growth of the individual until approximately early adulthood or the time when the pt no longer gains weight.
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What should you assess annually when beginning treatment of Somatropin (somatotropic hormone)?
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BONE AGE is monitored periodically for growth and to detect epiphyseal closure
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What safety measures should you take when taking Parlodel (bromocriptine) with orthostatic hypertension?
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dont drive
get up slowly and dangle |
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What is Parlodel (bromocriptine) used for?
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used for acromegaly (overproduction of growth hormone)
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What are dietary restrictions for secondary adrenal insufficiency of ACTH?
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instruct client to limit SODIUM
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What labs should be monitored taking prednisone?
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monitor glucose levels for hyperglycemia
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What is a bilateral adrnalectomy?
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The removal of both adrenal glands
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How should you instruct the pt to take long-term prednisone?
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never miss a dose of gluccocorticoid
do not stop abruptly must be tapered off |
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When is the best time of day to take prednisone?
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take in AM
with water and food |
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Which medications are given the day of immediate post adrenalectomy?
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steroids ending in -sone
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What labs should be monitored when on long-term corticosteroids?
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monitor GLUCOSE for hyperglycemia
POTASSIUM for hypokalemia |
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What is Addison's disease?
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where the adrenal glands do not produce sufficient steroid hormones both gluccocorticoid and mineralocorticoids.
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How does Florinef help Addison's disease?
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Florinef (fludrocortisone) is a drug that has both glucocorticoid and meneralocorticoid activity
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Should you monitor weight when taking Florinef?
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Yes. WEIGH DAILY
assess for edema monitor B/P for hypotension hypotension= insufficient dose |
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What is Synthroid (levothyroxine)?
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drug of choice for HYPOTHYROIDISM
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Is mild diuresis a normal side effect of thyroid replacement?
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YES
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Why would a pt who has bilateral thyroidectomy be taking thyroid replacement forever?
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Lifetime therapy because there will be no more thyroid hormones.
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What symptoms will a pt have if they are not taking Synthroid as prescribed?
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may cause:
CONSTIPATION lethargy weight gain |
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s/s of hypothyroidism
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cold intolerance
weight gain decreased metabolism hypotension puffy face constipation |
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Why should you monitor for cardiac diysrhytmias on pt with hypothyroid hormone therapy?
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Monitor pt who have cardiovasular disease for chest pain or worseng of disease
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Why are pt on thyroid medications?
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because their body isn not producing enough thyroid hormones
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Why should you report significant weight gain while taking Synthroid?
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adverse reaction of Synthroid is weight loss.
if pt is gaining weight medication is not working |
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What should you monitor daily when on Cytomel (liothyronine)?
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Cytomel is for hypothyroidsm
monitor PULSE RATE |
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Why should you monitor for angina when takin Cytomel?
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angina is result of too much of the drug
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What is Tapazole (methimzole)?
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Drug used for hyperthyroidsm/ Graves disease
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What labs should you monitor when taking PTU?
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monitor for increase WBC's
adverse effect: fever, sore throat, cough |
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Why should you make sure your pt is not pregnant or is taking birth control medication prior to PTU medication?
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PTU medications are used with extreme caution during pregnancy because they can cause hypthroidsm in the fetus.
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What is agranulocytosis?
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an acute blood disorder often caused ny radiation or drug therapy
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Agranulocytosis is a complication of Tapazole or PTU. What should you do?
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instyruct to report fever or sore throat
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What happens if client complains of metallic taste when taking nonradioactive iodine:Lugol's Solution, Potassium Iodide?
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instruct pt to STOP MEDICATION and notify doctor
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How should you administer Lugol's Solution?
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orally- dilute with fruit juice
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Who takes Lugol's Solution?
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given IV for the emergency of thyrotoxicosis
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What drug is radioactive iodine contraindicated with?
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contraindicated in pregnancy
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What drug is used for thyrotoxicosis?
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Lugols Solution and Potassium Iodide (SSKI)
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How is radioactive iodne treated with Grave's disease?
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Radio active iodine is used because the thyroid has anaffinity for iodine. The radioactive isotope accumulates in the cells of the thyroid gland, where destruction of thyrooid cells occur without damaging other cells throughout the body.
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Why should you not take Solu-Medrol (glucocorticoid) if you have diabetes mellitus?
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corticosteroids increase glucose levels and will raise BP with diabetes mellitus.
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Why should you question Lysodren (mitotane) when they have a history of adrenal insufficiency?
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it SUPPRESSES adrenal cortex
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Why is propranolol contraindicated in asthma?
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causes bronchospasms
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