(Blank)
Which hormone regulates growth in children?
Growth hormone
Side effect of antithyroid medications (Thionamides)
Agranulocytosis, liver injury, hypothyroidism
Which type of insulin corrects postprandial blood sugars?
Rapid-acting (lispro, aspart)
S/S of hypoglycemia
sweating, hunger, fatigue, tachycardia, pallor, irritability, anxiety
What drink should be avoided if a patient is on a sulfonylurea and why?
Alcohol- disulfram-like reaction
What is the expected treatment for Addison's Disease?
Steroids (Cortisol replacement therapy)
S/S of levothyroxine overdose
Describe the difference between type I and type II diabetes
Type I- autoimmune destruction of islet cells in pancreas
Type II- insulin resistance
Side effect of meglitinides
Hypoglycemia, weight gain
Contraindication to pioglitazone?
Heart failure, bladder CA, hepatic disease
Dietary restrictions for iodine therapy?
Avoid foods high in iodine for a week prior to treatment (dairy, eggs, seafood, iodized salt)
Side effects of octreotide
GI disturbance (gallstones, nausea, cramps, flatus, ileus, diarrhea)
Hyper/hypoglycemia
Side effects of glipizide
Weight loss, hypoglycemia
Side effects of empagliflozin
Polyuria, candidiasis, cystitis, dizziness, hypotension
When should pramlintide be held?
If patient isn't eating enough carbs/unable to eat
What condition does vasopressin treat and how do we know it's working?
Diabetes insipidus, decreased urine output
Instructions for levothyroxine
Take on an empty stomach with a full glass of water, do not take other medications for 4 hours, treatment is lifelong
Timing of acarbose administration
With first bite of food, three times per day
Timing of empagliflozin
In morning with breakfast
Life-threatening side effect of metformin (and its characteristics)
Lactic acidosis- hyperventilation, myalgia, fatigue, sluggishness, somnolence
Patient instructions for radioactive iodine?
maintain arm’s distance 2-3 weeks, do not prep food or share utensils, avoid children/pregnant women, increase fluid intake, proper disposal of body waste, use separate bathroom
Explain expected lab values in hyper and hypothyroidism
Hyper- Low TSH, high T3, T4
Hypo- High TSH, low T3, T4
Describe the process of drawing up/mixing regular insulin and NPH insulin
1. Inspect vials
2. Mix NPH insulin by rolling between hands
3. Inject air into NPH
4. Inject air into regular
5. Draw up regular
6. Draw up NPH
Timing of lispro
15 minutes before a meal
These oral antidiabetics are considered high alert medications
sulfonylureas