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QuestionAnswer
How does the endocrine system maintain homeostasis? using hormones as chemical messangers.
Male hormone testosterone is used to treat ___ Breast cancer
Female hormone estrogen is used to treat ___ Prostate Cancer
Type I Diabetes AKA: juvenile-onset diabetes (11-13 years of age) pancreas does NOT secrete insulin
Type I Diabetes Signs and Symptoms: -Hyperglycemia (fasting level >126 mg/dL) -Polyuria (excessive urination) -Polyphagia (increase in hunger) -Polydipsia (increase in thirst) -Glucosuria (increase level of glucose in urine) -Weight loss -Fatigue
What is the goal in the treatment of Type I Diabetes? Maintain blood glucose levels with in strict, normal limits
Diabetic therapy is highly ____ individualized
Insulin is administered by which route? SQ
Adverse effects of too much insulin. -hypoglycemia -tachycardia -convulsions
Type II Diabetes AKA: adult onset diabetes -body DOES secrete insulin but insufficiently. -Controlled with diet and excersise
What does the thyroid gland control? basal metabolic rate and affects everycell in the body. -Assess the heart rate
Most important assessment. Heart Rate
Thyroid homeostasis, iodine is ____ essential and our table salt containing this element is usually adequate.
Drug for Hypothyroidism Generic: levothyroxine Brand: syntroid
Points about Hypothyroidism (levothyroxine/syntroid) -a synthetic form of thyoxine (t4) -highly individualized -requires periodic blood monitoring
Treatment options for Hypothyroidism (levothyroxine/syntroid) -methimazole (Trapazote) -propylthiouricil (PTU) -radioactive iodine (131 I) -removal of the thyroid gland
Risk factors for peptic ulcer disease -family history of peptic ulcer disease -type o -smoking tabacco -alcoholic beverages -beverages and food containing caffeine -certain drugs (glucocorticoids, asprin, NSAIDS) -excessive stress (helicobaterpylori infection)
Proton Pump inhibitors (they will have a "prazole" ending) -esomeprazole (nexium) -pantaprazole (protonix) -lansoprazole (prevacid) -omeprazole (prilosec)
H2 receptor blockers -ranitidine (Zantac) -cimetidine (Tagamet)
Name of the antiflatulant we studied Simethicone (Mylicon, GAS-X)
Simethicone (Mylicon, GAS-X) mechanism of action reduces gas bubbles or foaming that cause bloating and discomfort
Why would an antibiotic be prescribed for someone with H. pylori? to treat bacterium
This drug PUD produces a thick gel-like substance that coats the ulcer. Sucraifate/ Carafate
Pregnancy category for misoprostol (Cytotec) Category X
_____ is a cathartic and is an ______ solution. Golytely, Electrolyte
Bisacodyl (Dulcolax) is a _________ laxative. Stimulant
Bisacodyl (Dulcolax) overuse can cause... -tolerance -dependency -electrolyte disturbance
Docusate calcium (Colace) is a _________ stool softner
Especially in the elderly, what can possibly help prevent the need for laxatives? fiber therapy or fiber stimulant.
Overuse of opioid antidiarrheal medications can cause _______ Constipation
OTC preparation available for mild diarrhea Ioperamide/ Imodium
What would be given for acute (less severe) cases or gastroenteritis? Lomotil, Tigan, clear liquid diet
Travelling to a foreign country, the doctor might prescribe ___________ because __________. metronidazole flagyl, antimicrobial antiprotozoan
Antihistamines used for motion sickness -dimenhydrinate (dramamine) -meclizine (antivert) -hydroxyzine (vistoril, atarax)
In addition to motion sickness, what will meclizine (antivert) treat? Dizziness and feeling like the room is spinning.
Antiemetic drug that is a serotonin receptor antagonist Ondansetron (zofran)
Anticholinergic drug to treat motion sickness Scopolamine (transderm-scop)
Good sources of vitamin D -sun light -supplementation -diet
What foods are high in vitamin D -dairy -dark green leafy veggies -fish
Symptoms of hypocalcemia -confusion -palptations -muscle twitching (nerve excitability) -numbness and tingling in extremities -cramping
What is the most common metabolic bone disease? Osteoporosis
What is metabolic bone disease caused from? lack of calcium and vitamin D
Common treatment for metabolic bone disease that has become controversial in recent years Hormone replacement therapy
A selective estrogen receptor modulator Raloxifene (Evista)(hormone)
A common bisphosphonate is... Fosamax/alendronate
Define Osteoarthritis degenerative age onset disease
Define Rheumatoid Arthritis is a systemic autoimmune disorder that causes disfigurement and inflammation of multiple joint and usually occurs at earlier age than osteoarthritis
Treatment for Rheumatoid Arthritis -Hydroxychioriauine (plaquenil) -Methotrexate (rheumatrex)
What causes gout? accumulation of uric acid in the bloodstream or joint cavities
What can trigger gout? diet, injury, and stress (seafood)
Anti-gout agent that is indicated for acute gouty attack Colchicine
Side effect of Colchicine Gastric upset
Define addiction aggressive and chronic use of substance
What usually occurs with physical dependence? withdrawals
Define psychological dependence disire to continue using (cravings)
Dependence usually accurs after relatively high doses have been used for a long time (also my occur after one use)
General Symptoms of withdrawal -nausea -tremors/seizures -vomitting -desperation -no concern for anybody -reduce to think logically
Discussed concerning tolerance -when body adapts to use -effects of drug takes more and longer to get
Name the drug that will reverse CNS and respiratory depression associated with opiate overdose. Naloxone (Narcan)
Will heavy or long-term narcotic use for pain when there is real pain lead to addiction? Rarely
Created by: brtknee
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