Endocrine System Medications

Name that medicine

100

I belong to Biguanides drug classification and used to treat type 2 diabetes mellitus. What am I?

Glucophage (Metformin) 

200

I am a synthetic form of T4, T3 or a combination of both, and used to treat hypothyroidism. I increase metabolic rate, protein synthesis, cardiac output, renal perfusion, oxygen use, body temp, blood volume and growth processes. 

Levothyroxine (Synthroid) 

300

I belong to the drug class Thonamides, and block synthesis of thyroid hormones, prevents oxidation of iodide, and block conversion of T3 and T4. I am used in the treatment of Graves disease. What am I?

Methimazole or Propylthiouracil. 

400

I am a pancreatic enzyme used to treat exocrine pancreatic insufficiency associated with Cystic fibrosis. 

Pancrelipase (Pancreaze, Ultresa, or Creon) 

500

I am an anabolic steroid and can be used to prevent muscle wasting in patients with AIDs or to help patients with severe trauma to rebuild tissue. I am also a Schedule III controlled substance. 

oxandrolone (Oxandrin) or nandrolone decanoate. 

Client Education

100

With this oral anti-diabetic medication the nurse should educate the client to rise slowly from a seated position and report episodes of dizziness to the provider. 

Canagliflozin, a Sodium-glucose co-transporter 2 (SGLT-2) inhibitors. 

200

The LPN should educate the client to notify the provider of any manifestations of peptic ulcer (coffee-ground emesis, bloody or tarry stools, abd. pain) when treating adrenocortical insufficiency (Addison's dz) with what group of drugs. 

Adrenal hormone replacement

Glucocorticoids: Prednisone, Dexamethasone, hydrocortisone. 

Mineralocorticoid: fludrocortisone 

300

The LPN should include avoiding the consumption of shellfish, which contains iodine, and other iodine products in the education provided to a client taking what class of medication?

Thonamdies; methimazole and proplythiouracil (PTU) 

400

The client verbalizes that she understands she is to take this medication daily on an empty stomach 30-60 minutes before breakfast, when taking what medication?

levothyroxine (Synthroid), a thyroid hormone. 

500

Levothyroxine can increase the anticoagulant effects of warfarin by breaking down vitamin K. What should the LPN educate the client to report to the provider?

Manifestations of bleeding (bruising, petechiae) 

Side effects

100

 Some of my side effects consist of.....HYPOGLYCEMIA, headache, increased sweating, irritability, hypokalemia, and weakness 

Insulin 

200

I am used in the treatment of Cystic fibrosis and my side effects include.... greasy stools, gas, nausea, vomiting, stomach pain, diarrhea, and constipation. 

Pancreatic enzymes like pancrelipase. 

300

Palpitations, fast heart rate, irregular heartbeat, increased blood pressure, nervousness, tremor, insomnia weight loss, abdominal cramps, intolerance to heat, menstrual irregularities are side effects associated with these types of medications. 

Thyroid medications used to treat Hypothyroidism like levothyroxine (Synthroid) 

400

Side effects to these medications include; paresthesia, headache, rash, agranulocytosis. 

Anti-thyroid medications like methimazole (Tapazole) 

500

These medications can cause acne, hirsutism, depression, altered libido, edema, aggression, liver cancer, and atherosclerosis. 

Anabolic steroids like oxandrolone (Oxandrin) or nandrolone. 

Insulin

100

I have onset of action within 2-4 hours,  peak between 4-12 hours, and a duration of 12-18 hours. 

Intermediate-acting Insulin 

Ex. NPH insulin

200

This insulin has an onset of 30minutes, a peak at 2-3 hours, and duration of 3-6 hours. 

Regular or short-acting insulin 

Ex. Regular Insulin

300

This type of insulin onsets in about 25 minutes, peaks between 1-2 hours and has a duration of 2-4 hours.

Rapid-acting insulin

Ex. Lispro insulin. 

400

I have no peak and a duration of 24 hours. What type of insulin am I?

Long-acting insulin 

Ex. detemir (Levemir) 

500

I have an onset of 25 minutes, a peak of 30 minutes and a duration of 3 hours. 

Inhaled insulin 

Ex. Affreza

M.O.A.

100

I increase cellular response to insulin by decreasing insulin resistance. I also, increase glucose uptake and decrease glucose production. What am I?

Thiazolidinediones 

Ex. rosiglitazone (Avandia)

pioglitazone (Actos) 

200

I block the synthesis of thyroid hormones, prevent the oxidation of iodide and block conversion of T4 into T3, and used in the treatment of Grave's disease. What am I?

Thionamides 

Example: methimazole and propylthiouracil (PTU) 

300

We reduce the production of glucose within the liver through suppression of gluconeogenesis and decrease glucose absorption in the gastrointestinal tract. First choice medication for most clients who have type 2 diabetes. 

Biguanides

Example: metformin (Glucophage) 

400

We promote cellular uptake of glucose (decrease glucose levels), convert glucose into glycogen and promotes energy storage and moves potassium into cells (along with glucose) 

Insulin 

500

Used for emergency management of hypoglycemic reactions in clients who are unable to take oral glucose or if IV glucose is not an option. This medication increases blood glucose levels by increasing the breakdown of glycogen into glucose. 

Glucagon