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39 Cards in this Set

  • Front
  • Back
Protein derived hormones
synthesized, stored and released into the bloodstream in response to a stimulus
steroid hormones
synthesized in the adrenal cortex and gonads from cholesterol, are released as they are synthesized
Glucocorticoids
cortisol
influence carb storage, has anti inflam effects, and increases protein catabolism
mineralocorticoids
aldosterone
regulates electolyte balance by promoting Na retention and K loss
Thyroid Hormones
T3 and T4
regulates the metabolic rate of the body and greatly influence growth and development
Parathyroid Hormone
PTH regulates calcium and phosphate metabolism
Pancreatic Hormones
Insulin and Glucagon
regulate the metabolism of glucose, lipids, and proteins
Corticotropin releasing hormone or factor
causes the release of corticotropin (ACTH) in response to stress and threating stimuli
effects corticosteroids
Thyroid releasing hormone
causes the release of TSH in response to stress, such as extreme cold
Anterior pituitary
synthesizes and secretes hormones
Posterior Pituitary
STores and releases hormones
Growth hormone releasing hormone
releases growth hormone
somatotropin
growth hormone releasing inhibiting factor
Somatostaian
inhibits release of GH
Gondadotropin-releasing hormone
affects FSH and LH
Posterior pituitary hormones
ADH
Oxytocin
GH or somatotropin
Stimulates growth of body tissues. it regulates cell division and protein synthesis required for normal and promotes an increase in muscle cells and lengthening of bone
Which anterior pituitary hormones act directly on the target tissues
GH and prolactin
ADH or vasopressin
functions to regulate water balance by make renal tube more permeable to water
this raises blood volume and arterial blood pressure
oxytocin
function in child birth and causes milk to come to the nipples
Leuprolide (Lupron) is use for what
Advanced prostatic cancer
Endometreosis
uterine fibroid tumors
Lupron AE
testosterone or estorgen deficiency like effects
increased bone pain
difficulty urinating
could agrivate deppresion
Octreotide (sandostatin) indications
Acromegaly
AIDS diarrhea
How do you give lupron
not orally b/c it is destroyed in the GI tract
Indications for Somatropin
children who's growth is impaired by a deficiency of endogenous hormones, chronic renal failure, turner's syndrome
only give it IM
When is somatropin useless
when the epiphyses of the long bone are closed
Indications for desmopressin (DDAVP)
diabetes insipidus, bedwetting, and hemostasis of bleeding (hemoplilia)
Indications for VAsopressin
bleeding esophageal varices caused by longterm portal hypertension
Therapeutic effects of ADH drugs
decreased urine output
increased sp gravity
decreased dehydration
decreased thirst
AE of somatotropin
mild edema, headache, muscle pain, weakness, and hyperglycemia
AE of DDVAP
headache, nasal congestion, nausea, and increased blood pressure. Serious water retention and hyponatreimia
AE of Vassopressin
water intox
chest pain
MI
inc blood pressure
abdominal cramps
AE of octreotide (sandostation)
dysrythmias, bradycarida, diarrhea, headache, hypergly, and gall stones
drugs that inc effect of vasopressin
general anestetics
drugs that dec effect vasopressin
lithium
drugs that increase effect of oxytocin
estrogens and vasoconstrictors (epi and norepi)
When does corticosteroid negative feedback not work?
during stress response b/c stress activates the SNS to produce more epi and norepi and the adrenal gland produces 10x the normal amount of cortisol
Addison's disease
primary adrenocortical insufficiency
destruction of the adrenal cortex TB, cancer, autoimmune disorders, prolonged steroid use; inadequate production of cortisol and alsosterone
secondary adrenocortical insuficiency
inadequate gluccocorticoids but mineralcorticoid ok
what happens when the adrenal cortex is over functioning
cushing disease