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31 Cards in this Set
- Front
- Back
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Adrenal cortex manufactures/makes
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corticosteroids and a small amount of sex hormones
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Corticosteroids are composed of
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glucocorticoids and mineralocorticoids
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Sex hormones are composed of
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androgens and estrogens
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Gonadotropins are
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follicle stimulating hormone and luteinzing hormone, they influence the gonads
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Prolactin
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stimulates milk production after childbirth
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Human chorionic gonadotropin
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is taken from human placentas and contains FSH and LH
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Menotropins
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is a puried form of FSH and LH, taken from the urine of the postmenopausal women.
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Menotropins are given too
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produce ovulation in women with ovulatory failure, stimulate production of sperm, and assist when testes havent fallen into scrotum.
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Clomiphene
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synthetic nonsteroid, used to promote ovulation
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Somatotropin/ADRENOCORTICOTROPIC HORMONE ACTH
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comes from human pituitary glands removed at autopsy, REGULATES GROWTH DURING CHILDHOOD AND IS GIVEN TO CHILDREN WHO HAVE FAILED TO GROW.
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Adrenocorticotropic hormone uses
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stimulates adrenal cortex to produce/secrete hormones GLUCOCORTICOIDS, and is used in diagnostic testing and treatment of neurologic problems.
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Menotropins adverse reactions
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produce ovarian enlargement, blood inside peritoneal cavity, and febrile reactions
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Clomiphene adverse reactions
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abdominal discomfort, ovarian enlargement, blurred vision, nervousness, hot flashes
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Chorionic gonadotropin adverse reactions
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headache, irritability, restlessness, fatigue
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Posterior Pituitary hormones
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Antidiuretic hormone (ADH)/VASOPESSIN and oxytocin
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Vasopressin
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regulates the reabsorption of water by the kidneys, given when body loses water DIABETES INSIPIDUS, used in replacement therapy, and STIMULATES ADRENAL CORTEX TO SECRETE CORTISOL, CORTICOSTERONE, ALDOSTERONE
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Vasopressin adverse reactions
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abdominal cramps, anaphyxlasis, pallor, diarrhea, flatus, headaches, sweating, tremors, urticaria, uterine cramps, spinning, vomiting
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Vasopressin drug interactions
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oral antidiabetics, urea, and fludrocortisone increase effects of vasopressin. large does of epinephrine, heparin, and alcohol decrease the effect.
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Forms of pituitary hormones
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NO ORAL FORMS, IM SUBCUT IV
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What should be monitored when taking antidiuretic hormone?
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specific urine gravity and watch for water intoxication or signs of dehydration
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Adrenocortical Hormones
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hydrocortisone, cortisone, mineralcorticoids- aldosterone and desoxycorticosterone
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Hyrdocortisone and cortisone
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regulate glucose, fat, and protein metabolism and control antiinflammatory response and immune response
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Aldosterone and desoxycorticosterone
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conserve sodium and increase elimination of potassium
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Glucocorticoid uses
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replacement of missing hormones in adrenal insufficiency ADDISONS DISEASE, reduce antiinflammatory, allergic, or immunologic responses.
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Local Steroids uses
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intraarticular- joints, soft tissue, intrabursal- bursae, and lesions
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Corticosteroid drug interactions
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increase the effects of barbiturates, sedatives, narcotics, and anticoagulants.
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Prednisone
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the drug of choice to reduce inflammation and depress the immune system
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Steroid withdrawal syndrome
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stopping steroids suddenly, symptoms- anorexia, nausea, and vomiting, lathargy, headache, fever, joint pain, myalgia, skin peeling
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Corneal fungal infections
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are likely to develop with extensive ophthalmologic corticosteroid use
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Signs/symptoms of adrenal insufficiency
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malaise, weakness, hypotension, anorexia, nausea, vomiting, aching bones, headache, fever, and diarrhea
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Diet when on steroids
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high in potassium and low in sodium
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