Pharm T4 Ch30

Front 1

when the gland X releases hormone V, this stimulates target cells to release hormone Y. When there is an excess of hormone Y, gland X senses this excess and decreases its release of hormone V.

Back 1

negative feedback loop

Front 2

pergonal

somatropin

Back 2

anterior pituitary drugs

Front 3

vasopressin

desmopressin

pitocin

Back 3

posterior pituitary drugs

Front 4

pituitary drugs do NOT_____, they only alleviates _________.

Back 4

cure the condition

symptoms of the disease.

Front 5

replacement therapy uses drug forms of the deficient_____.

Back 5

corticosteroid hormones.

Front 6

hypothalamus releases corticotropin-releasing factors which causes_____ to be secreted by the ____.

Back 6

Adrenocorticotropic hormone (ATCH)

pituitary

Front 7

Adrenal cortex releases glucocoticoids. Cortisol levels____ and ____ mechanism____ further release of glucoccorticoids.

Back 7

increase

negative feedback

shuts off

Front 8

stimulats release of cortisol from the adrenal cortex. anti- inflammatory effect.

Back 8

cosyntropin( Cortrosyn)

Front 9

used in the diagnosis of adrenocortical insufficiency.

Back 9

cosyntropin ( Cortrosyn)

Front 10

growth hormones in children affects ____ as long as there are ______.

Back 10

stature

epiphyseal growth plates

Front 11

growth hormone in adults increases(4)

Back 11

exercise capacity, bone density, muscle mass, and decreases body fat.

Front 12

stimulates skeletal growth in patients with deficient GH, such as hypopititary dwarfism

Back 12

Somatropin and somarem

Front 13

used for wasting associated with human immunodeficiency virus infection (HIV)

Back 13

Somatropin and somarem

Front 14

use cautiously in children with acute or chronic illnesses such as asthma.

Back 14

Somatropin

Front 15

doses my need to be adjusted, but drug does not need to be _____. Do NOT _____ the product.

Back 15

discontinued

shake

Front 16

inhibits GH and VIP release

Back 16

octreoide(Sandostatin)

Front 17

used to alleviate certain symptoms of carinoid tumors secrete VIP( vasoactive intestinal polypetide)

Back 17

octreotide (Sandostatin)

Front 18

reduces severe diarrhea, flushing, and potentiall life- threating hypotenson that may occur with carcinoid crisis

Back 18

octreotide (Sandostatin)

Front 19

octreotide may impair _____ therefore patients should report any abdominal pain.

Back 19

gallbladder

Front 20

octreotide needs to be used with caution for patient with _____.

Back 20

renal impairment

Front 21

for pt taking octreotide, montior _____ in patients with diabetes, and even in those who do not have diabetes because it could____.

Back 21

glucose levels

increase glucose levels

Front 22

antidiuretic hormone conserves _____.

Back 22

water in the body

Front 23

diabetes insipidus is caused by a _____ of ADH

Back 23

deficiency

Front 24

used in the treatment of diabetes insipidus

Back 24

vasopressin and desmopressin

Front 25

useful in the treatement of hemophilia A and type I von Willeband's disease because of its effect on ______.

Back 25

desmopressin

various blood-clotting factors

Front 26

is a potent vasoconstrictor in large doses and is useful in hypotensive emergencies.

Back 26

Vasopressin

Front 27

short duration of action( 2-8) hours

Back 27

Vasopressin

Front 28

longer duration of action( 20 hours)

Back 28

Desmopressin

Front 29

octreotide adverse effects

Back 29

nausea, vomiting, diarrhea, headache, flushing, injection-site pain, cholelithiasis, dysrhythmia, worsening heart failure, sinus bradycardia

Front 30

somatropin adverse effects

Back 30

pain at the injection site, hyperglycemia, arthralgia, myalgia, abdominal pain, otitis media headache, bronchititis, hypothyroidism, hypertension, flulike symptoms

Front 31

causes severe respiratory impairment in severely obese patients with prader willi syndrome, diabetes, pancfreatitis, scoliosis of the spine, papiledema inracranial tumor

Back 31

somatropin adverse effects

Front 32

vasopressin adverse effects:

Back 32

tremor, pallor, nausea, vomiting, water retention, intoxication, angina, acute MI, gangrene, anaphylaxis, cardiac arrest

Front 33

rotate injection sites

do not discontinue drugs abruptly

Back 33

nursing implications

Front 34

parents of children who are receiving growth hormones should keep a journal reflecting the child's growth

Back 34

nursing implications

Front 35

somatropin should____

Back 35

increase growth in children

Front 36

desmopressin and vasopressin should______

Back 36

reduce severe thirst and decrease urinary output

Front 37

octreotide should_____

Back 37

reduce symptoms of carcinoid crisis