DM & Insulins
Name 3 rapid acting insulin?
Aspart (novolog)
Lispro (humalog)
Glulisine (apidra)
3 steroid hormones secreted by adrenal cortex
gonadocorticoid
mineralocorticoid
glucocorticoid
What disorder occurs with an increase of growth hormone?
Acromegaly
What labs would you check for thyroid?
TSH
T3
T4
What is the normal glucose level?
70-110
You can administer short acting insulin via IV (T or F)
True (short acting is regualr insulin)
what is cosyntropin used for?
lab to diagnose adrenocortical insufficiency
What is octreotide (sandostatin) used to treat?
Acromegaly
Diarrhea
Elevated TSH levels?
hypothyroidism
What can metformin also treat besides DM?
PCOS-polycystic ovarian syndrome
S/S of DM 1?
Polyuria
Polydypsia
Polyphagia
Glucosuria
Weight loss/fatigue
Besides Addison's name other steroid use
allergies
asthma
cancer
some edema
IBD
some joint & skin disorders
Hypersecretion of ADH?
Hyposecretion of ADH?
SIADH- Syndrome of inappropriate antidiuretic hormone
DI-Diabetes Insipidus
What therapy kills part of the thyroid?
Iodine 131
(radioactive I131)
What is negative feedback?
bodies reactions once it has what it needs
What does OGTT for?
lab test done during pregnancy to determine gestational diabetes
Treatment for Chronic Adrenocortical Insufficiency?
Taking steroids for life
Black Box Warning for Desmopressin
hyponatremia
Black Box Warning for Levothyroxine?
Not to be used for weight loss
If a patient is a diabetic and also has Addison's what must they monitor daily?
Blood Sugar because steroids can increase level
Black Box Warning for Metformin?
Lactic Acidosis
What do mineralocorticoid and Glucocorticoid's do?
-can increase BS
-suppress inflammatory & immune system
-increase sensitivity to vasoconstrition -HTN
-increase breakdown of matrix in bone
-bronchodilation
What is Desmopressin used for?
DI, hemophelia, & polyuria nocturnal
Cause for hyperthyroidism?
Cause for hypothyroidism?
Grave's disease
Hashimoto's
Name 6 hormones that come from antierior pituitary and the 2 that come from posterior pituitary
anterior: ACTH, GH, TSH, FSH, LH, PRL
posterior: ADH, Oxytocin