ACTH/ Prolactin
what is the use of ACTH analogs
differentiate primary vs secondary adrenal sufficienct
what should you monitor in patients on somatotropin
fundoscopic exams, BGL
GnRH analogs are preg__
X
BBW of levothyroxine, how should it be taken, and peak effect time
not for obesity or weight loss
should be taken on an empty stomach
4-6 week
SURPRISE: how do you dose methimazole
PO QD
prolactin is inhibited by
dopamine
what medication mimics GH
somatotropin
synthetic GnRH mimics or interrupts the normal pulsatile stimulation of GnRH
interrupts
which synthetic thyroid hormone has the longest 1/2 life
levothyroxine
what is oxytocin used for
stimulate uterine contraction and induce labor
what ACTG analog should not be given IV and which one can
corticotropin;cosyntropin
what is the use of somatotropin are its 2 main risks
GH deficiency, short stature, growth failure
Abuse and SCFE
what should you educate your patient about when taken a GnRH analog
they will have an initial increase in FDH/LH and it will thenn decrease LH, FSH, testosterone, and estrogen in 2-4 weeks
which synthetic thyroid hormone meds are T4 only and which is T3 only
levothyroxine and liothyronine
SE of vasopressin
hyponatremia and water intoxication
what meds can be used to treat hyperprolactinemia
bromocriptine and cabergoline
What are the somatostatin meds and what do they mainly treat
octreotide and lanreotide;acromegaly
what is the SE of gonadotropin analogs
ovarian hyperstimulation syndrome
which medications inhibit TH synthesis and what is their group
Propylthiouracil (PTU) and methiomazole
thioamides
SURPRISE: what is the BBW and dosing of PTU
BBW: use in first trimester of preg only and PO Q8H
SURPRISE: give me the FSH+LH, FSH alone, and LH alone meds
FSH+LH menotropins
FSH: urofollitropin, follitropin alpha and beta
LH: chorionic gonadotropin, choriogonadotropin alpha
What is the caution of somatostain
stones and sludge
What are the GnRH analogs
leuprolide, foserelin, naferelin, histerelin
MOA of PTU
inhibits synthesis of thyroid hormone by inactivating TPO oxidation of iodine and blocking the conversion of T4 to T3
Desmopressin MOA
minimal effect on vascular smooth muscle (V! receptor) and increases water permeability. Increases plasma levels of von Willebrand factor, factor VIII, and t-PA to reduce bleeding