Endocrine
Complications/Side Effects
Nursing Assessments
Endocrine Medications
Anti-emetics
GI
100
These are the 3 P's of hyperglycemia?
What is polyuria, polydipsia, and polyphagia.
100
What is thrush.
100
You will see this happen to the patient's insulin order when diagnosed with an infection?
What is increase.
100
A type 2 diabetic patient experiencing hypoglycemia would not be on this monotherapy?
What is Metformin.
100
Number 1 choice for motion sickness?
What is scopolamine.
100
Docusate is this classification?
What is Emollients.
200
This A1C result is indicative of being diabetic?
What is 6.7% or higher.
200
Your client complains of abdominal pain and distention. As the nurse you assessed the abdomen. The clients abdomen in hard to palpation and bowel sounds are hypoactive. This could be a complication from what acid neutralizing medication?
What is calcium carbonate?
200
This medication should be administered on an empty stomach 1 hour before meals. Usually continued for 4-8 weeks until resolution of peptic ulcer.
What is sucralfate?
200
Use this to treat hypoglycemia in the unconscious patient?
What is glucagon.
200
Ondansetron it this classification?
What is a Serotonin Receptor Antagonist.
200
This side effect will stop you from giving Magnesium Hydroxide?
What is diarrhea.
300
Patient's blood sugar is 60mg/dL, what should you do?
What is give 15 grams of carbohydrates and recheck blood glucose in 15-20 min.
300
Difficulty speaking, loss of balance, pill rolling, masklike face, shuffling gait, rigidity, and tremors.
What are EPS s/s?
300
A non-diabetic patient has a blood glucose of 180mg/dL, they are taking this medication?
What is glucocorticoid: prednisone, methylprednisolone.
300
Glipizide has this mechanism of action?
What is stimulates the beta cells of the pancreas to secrete insulin.
300
Name 3 non-pharmacologic interventions for nausea/vomiting?
What is ginger, crackers, dry toast, flat soda.
300
Polyethylene Glycol has this mechanism of action?
What is osmotic agent, drawing water into the lumen of the GI tract.
400
This class of medication used to treat hypothyroidism should be taken 30-60 min before food or other drugs?
What is Thyroid medication. (levothyroxine, Synthroid)
400
This medication is contraindicated for a client with a salicylate allergy.
What is Bismuth?
400
Your client is prescribed calcium carbonate and pantoprazole for 0730, how should they take them?
What is spaced apart by 1-2 hours.
400
This insulin has a peak effect of 3 hours?
What is regular (short acting) insulin.
400
Scopolamine is this classification?
What is anticholinergic?
400
Calcium Carbonate has this mechanism of action?
What is neutralize HCl and decrease pepsin activity.
500
Glucocorticoids when taken long term can cause these effects?
What is hyperglycemia, osteoporosis, moon face, buffalo hump.
500
Rhythmic movements of the face, mouth, & extremities along with lip smacking or puckering and puffing of cheeks.
What are Tardive Dyskinesia s/s?
500
Allergies should be checked carefully with this antidiabetic medication?
What is sulfonylurea (Glipizide and Glyburide).
500
This is the onset and peak of Intermediate Insulin?
What is 2-4 hours and 4-10 hrs.
500
Metoclopramide has this mechanism of action?
What is suppresses dopamine receptors in the CTZ.
Increases peristalsis, promoting gastric emptying.
500
Pantoprazole is this classification?
What is a proton pump inhibitor. (PPI)
600
Palpitations, diaphoresis, slurred speech, confusion, cold.
What are signs of hypoglycemia.
600
This medication used for relief of diarrhea should not be stopped abruptly due to risk of withdrawal symptoms.
What is diphenoxylate with atropine?
600
Your patient received an anti-emetic medication 30 min ago, they are now experiencing restlessness, anxiety, and muscle spasms.
What is Extrapyramidal side effects.
What medication was given?
600
Stimulates hepatic production of glucose from glycogen stores?
What is glucagon.
600
Prochlorperazine have these side effects?
What is anticholinergic effects.
Can also cause extrapyramidal effects.
600
The nurse should provide patient education on this when a patient is prescribed Methylcellulose?
What is administering it (mixing) with at least 8 oz of water.
700
This GLP-1 medication increases intracellular cAMP leading to insulin release when glucose is elevated?
What is dulaglutide or Trulicity.
700
Hyperthermia, muscle rigidity, altered consciousness, labile blood pressure, tachycardia, diaphoresis.
What are NMS s/s?
700
Assess a client taking this antiemetic medication for s/s of mental status change, agitation, tachycardia, dizziness, diaphoresis, tremor, rigidity.
What is ondansetron?
Serotonin Syndrome
700
A patient who has a history of hypothyroidism and diabetes type 2 is experiencing hyperglycemia, why?
What is the combination of levothyroxine and metformin.
700
Side effects of this pharm class include dystonia and parkinsonism?
What is dopamine receptor antagonists. (Tardive dyskinesia) (Prochlorperazine)
700
Sucralfate has this mechanism of action?
What is reacts with gastric acid to form a thick paste, which adheres to the ulcer surface.