When to give it?
Hyperthyroidism, Graves Disease, Thyroidectomy Prep
Why is it important to know the peak times of insulin?
1 hour
What is the MOA of somatropin?
Stimulates growth protein synthesis.
What are the two types of glucocorticoids?
Prednisone and Dexamethasone
What is the name?
Fludricortosone
Blocks the synthesis of thyroid hormones
Long-acting: Insulin Glargine: Lantus, Basaglar
What's the peak?
What is MOA of Levothyroxine?
Acts a synthetic form of thyroid hormones; pure T4
Why would you give prednisone?
Name at least 2 reasons
Inflammation, transplant rejection, asthma, allergic reactions, and autoimmune disorders
What is MOA of Fludrocortisone?
Stimulates the reabsorption of sodium and water in the bloodstream.
What is one main side effect that indicates stopping the medication immediately?
Agranulocytosis
Intermediate Acting: NPH Insulin
What's the peak?
Peak: 4 - 12 hrs
What is the MOA of Desmopressin?
Promotes water reabsorption in the kidneys.
What are some side effects of Prednisone?
Name at least 2
Immunosuppresion, hyperglycemia, osteoporosis, fluid retention, mood changes, vision changes
Indications of Fludricortisone?
Addison's Disease, Adrenal Insufficiency, Orthostatic hypotension
What is this medication contraindicated for?
Pt's with liver failure and immunosuppression
When should you take the long acting insulin?
Should be taken at the same time daily
What is the MOA of metformin?
Increases insulin sensitivity, makes insulin in your body more effective
What is some nursing interventions for Dexamethasone?
Name at least 2
Give with food, Monitor weight, BP, and electrolytes, Tell pt increase calcium nd vitamin d, do not stop abruptly,monitor for s&s of infection
Side effects of this med?
Name at least 2
HTN, Edema, Hypokalemia, weight gain
What does it interact with? Why?
Anticoagulants: Increased risk of bleeding
Rapid-acting: Lispro
What's the peak?
1 hour
What's the MOA of Dexamethasone?
Anti Inflammatory& immunosuppresant
What are the three main side effects of Dexamethasone?
Hyperglycemia, Fluid retention, and delayed wound healing.
Interactions with this med?
Barbiturates and Phenytoin can reduce effects; antidiabetic effects of insulin & sulfonylureas decrease with concurrent use