PH 17 Drugs for Osteoporosis and Hormonal Problems

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Which hormones are produced by the thyroid gland?

Thyroxine and triiodothyronine

What is the function of thyroxine and triiodothyronine in the body?

Increase metabolism and energy use

What is the medical term for underactive thyroid?

Hypothyroidism

What is hormone replacement therapy (HRT) used for?

Relieving menopause symptoms

Which hormone regulates sodium and water balance?

Aldosterone

What are anabolic steroids?

Synthetic drugs with the same use and actions as androgens

What do antithyroid drugs do?

Work directly in the thyroid gland to stop production of new hormones

What are bisphosphonates used for?

Treating osteoporosis

Which symptoms are associated with hypothyroidism?

Fatigue, weight gain, and decreased sex drive

What is the function of thyroid hormone agonists?

They mimic the effect of thyroid hormones and regulate metabolism

Which drug is commonly prescribed for hypothyroidism?

Levothyroxine sodium

What are the potential consequences of untreated hypothyroidism?

Poor brain development and cognitive impairment

Which of the following is a symptom of hypothyroidism?

Excessive bruising

Which of the following is a potential adverse effect of taking thyroid hormone agonist drugs during pregnancy?

Problems with the fetus

Which of the following is a potential adverse effect of continued excessive amounts of thyroid hormones?

Blurred vision

Which of the following is a symptom of thyroid crisis or thyroid storm?

Fever

Which class of drugs do methimazole and propylthiouracil belong to?

Antithyroid drugs

What is the recommended duration for taking thyroid-suppressing drugs to start being effective?

3 to 4 weeks

What are some common side effects of antithyroid drugs?

Headache and rash

What is a potential adverse effect of propylthiouracil?

Liver damage

Which of the following is an adverse effect of thyroid hormone agonist drugs?

Increased blood pressure

What should be assessed before giving the first dose of a thyroid hormone agonist drug?

Heart rate and blood pressure

Which of the following drug interactions can occur with thyroid hormone agonists?

Increased bleeding and bruising with anticoagulants

What is the recommended timing for administering thyroid hormone agonist drugs in relation to meals or fiber supplements?

2 hours before or 3 hours after a meal

Which of the following is a symptom of liver problems that patients should be instructed to monitor for daily?

Yellowing of the skin

What should patients do if they notice a yellow tinge on the roof of their mouth or the whites of their eyes?

Notify their healthcare provider

Why should patients avoid crowds and people who are ill while taking antithyroid drugs?

These drugs can reduce immunity and resistance to infection

What is the recommended action if patients do not notice a reduction of their symptoms in the first 1 to 2 weeks of taking the medication?

Do not increase the dosage on their own

Why should patients keep all follow-up appointments and appointments for blood-clotting tests while taking these drugs?

These drugs increase the effectiveness of warfarin

Why should women who are taking antithyroid drugs not breast-feed?

These drugs enter breast milk

Which hormone is secreted by the adrenal cortex and regulates sodium and water balance?

Aldosterone

What are synthetic drugs with the same use and actions as androgens called?

Anabolic steroids

What are synthetic or natural hormones that help to develop and maintain the male sex organs and secondary sex characteristics in men called?

Androgens

What do antithyroid drugs do?

Suppress thyroid hormone production

Which of the following is a hormone replacement therapy (HRT) drug used for temporary or permanent treatment?

Thyroid hormone agonist

What is the function of calcium-modifying drugs in the treatment of osteoporosis?

Increase bone density

Which gland produces thyroxine (T4) and triiodothyronine (T3)?

Thyroid gland

What is the common problem associated with hypothyroidism?

Underactive thyroid

Which of the following symptoms is associated with hypothyroidism?

Always feels cold when others are comfortable

What is the function of thyroid hormone agonists?

Increase the cells' rate of metabolism

Which of the following drugs is commonly prescribed for hypothyroidism?

Levothyroxine sodium

What can happen if hypothyroidism is left untreated?

Impaired brain development in children

Which of the following is a potential symptom of hyperthyroidism?

Bulging or protruding eyes

What is the most common cause of hyperthyroidism?

Grave's disease

What is the potential consequence of untreated hyperthyroidism?

Toxic side effects to organs

What is the recommended action if a patient notices a yellow tinge on the roof of their mouth or the whites of their eyes?

Consult their healthcare provider

Which class of drugs do methimazole and propylthiouracil belong to?

Thionamides

What is the preferred antithyroid drug over propylthiouracil?

Methimazole

What can happen if patients take antithyroid drugs with anticlotting drugs?

Bone marrow suppression

What is the recommended duration for taking thyroid-suppressing drugs to start being effective?

3 to 4 weeks

Which of the following is an adverse effect of thyroid hormone agonists?

Increased cardiac activity

What should be assessed before giving the first dose of a thyroid hormone agonist drug?

Heart rate and blood pressure

What is the recommended timing for administering thyroid hormone agonist drugs in relation to meals or fiber supplements?

3 hours after a meal or a fiber supplement

What are the potential consequences of untreated hypothyroidism?

Depression and fatigue

Which of the following symptoms should patients monitor for daily to detect liver problems while taking these drugs?

Yellowing of the skin and sclera (jaundice)

Why should patients avoid crowds and people who are ill while taking these drugs?

To prevent the spread of infections

What is the potential risk of taking antithyroid drugs during pregnancy?

Increased risk of birth defects and fetal damage

Why should women who are taking antithyroid drugs not breast-feed?

Because these drugs enter breast milk and can harm the baby

What should patients do if they do not notice a reduction of their symptoms in the first 1 to 2 weeks of taking these drugs?

Continue taking the medication as prescribed

Why should patients keep all follow-up appointments and appointments for blood-clotting tests while taking these drugs?

To monitor liver function

Which hormone is secreted by the adrenal cortex and regulates sodium and water balance?

Aldosterone

What are synthetic drugs with the same use and actions as androgens called?

Anabolic steroids

What are synthetic or natural hormones that help to develop and maintain the male sex organs at puberty called?

Androgens

What are thyroid-suppressing drugs that work directly in the thyroid gland to stop production of new hormones called?

Antithyroid drugs

Which of the following symptoms is associated with hypothyroidism?

Thinning scalp hair

What is the recommended administration route for levothyroxine sodium?

Oral

What is the potential consequence of untreated hyperthyroidism?

Hand tremors

Which of the following is a nursing implication for liothyronine sodium?

Monitor the patient's skin for signs of bruising or bleeding

Which class of drugs do methimazole and propylthiouracil belong to?

Antithyroid drugs

What is the preferred antithyroid drug between methimazole and propylthiouracil?

Methimazole

What is the most common side effect of antithyroid drugs?

Taste changes

What is the mechanism of action of antithyroid drugs?

They inhibit thyroid hormone production

Which of the following is a symptom of hyperthyroidism?

Swelling in the neck

What is the emergency condition that can occur in severe hyperthyroidism?

Thyroid storm

What is the potential consequence of increasing the dose of thyroid hormone agonist drugs too quickly?

Increased risk of heart attack

What should patients do if they miss a dose of thyroid hormone agonist drugs?

Skip the missed dose and continue the regular dosing schedule

Which of the following is a potential adverse effect of thyroid hormone agonists?

Bone marrow suppression

What should be assessed before giving the first dose of a thyroid hormone agonist drug?

Heart rate and blood pressure

What is the potential consequence of untreated hyperthyroidism?

Myocardial infarction

Why should patients keep all follow-up appointments and appointments for blood-clotting tests while taking anticoagulants with thyroid hormone agonists?

To prevent excessive bleeding

Which of the following hormones is critical for brain development and function, heart and skeletal muscle contraction, and the production of other hormones?

Thyroxine

What is the medical term for the gradual loss of bone density and strength, which leads to spinal shortening and increased risk for bone fractures?

Osteoporosis

Which of the following drugs for osteoporosis activates estrogen receptors in the bone to promote calcium retention and blocks estrogen receptors in breast and uterine tissue?

Estrogen agonist/antagonist

Which gland in the neck produces two critical hormones, thyroxine (T4) and triiodothyronine (T3), that regulate metabolism?

Thyroid gland

Which of the following symptoms should patients monitor for daily to detect liver problems while taking these drugs?

Yellowing of the skin or sclera (jaundice)

Why should patients avoid situations that can lead to bleeding while taking these drugs?

These drugs increase the effectiveness of warfarin

What is the potential risk of taking antithyroid drugs during pregnancy?

Increased risk of birth defects

What should patients do if they do not notice a reduction of their symptoms in the first 1 to 2 weeks of taking these drugs?

Continue taking the drugs as prescribed

What should patients do if they notice a yellow tinge on the roof of their mouth or the whites of their eyes?

Notify their healthcare provider

Why should patients keep all follow-up appointments and appointments for blood-clotting tests while taking these drugs?

To check for drug interactions

Which hormone is secreted by the adrenal cortex and regulates sodium and water balance?

Aldosterone

What are synthetic drugs with the same use and actions as androgens called?

Anabolic steroids

Which hormones help to develop and maintain the male sex organs at puberty and develop secondary sex characteristics in men?

Androgens

What are thyroid-suppressing drugs that work directly in the thyroid gland to stop production of new hormones called?

Antithyroid drugs

Which of the following symptoms is associated with hypothyroidism?

Decreased or absent menstruation

What is the action of thyroid hormone agonists?

They increase the cells' rate of metabolism

Which of the following is a nursing implication for levothyroxine sodium?

Check the patient's heart rate and blood pressure before giving the drug

What is the function of antithyroid drugs?

To reduce thyroid hormone levels

Which class of drugs do methimazole and propylthiouracil belong to?

Antithyroid drugs

What is the preferred antithyroid drug between methimazole and propylthiouracil?

Methimazole

What is the most common side effect of antithyroid drugs?

Muscle and joint aches

What is the potential adverse effect of propylthiouracil?

Liver damage

Which of the following is a drug that prevents bones from losing calcium and increases bone density by binding to calcium in the bone and preventing osteoclasts from destroying bone cells and resorbing calcium?

Calcium-modifying drug

What is the use of hormones to suppress ovulation for the intentional prevention of pregnancy called?

Hormonal contraception

What is the gradual loss of bone density and strength, which leads to spinal shortening and increased risk for bone fractures, called?

Osteoporosis

What is a protein secreted by an endocrine gland that changes the action of another gland or tissue called?

Hormone

Which of the following symptoms may indicate jaundice in a patient taking drugs with antiplatelet actions?

Yellowing of the skin

What is the recommended timing for administering thyroid hormone agonist drugs in relation to meals or fiber supplements?

2 hours before a meal or fiber supplement

What is the most serious adverse effect of thyroid hormone agonists on the cardiac system?

Myocardial infarction

What should be assessed before giving the first dose of a thyroid hormone agonist drug?

Heart rate and blood pressure

Which of the following is a symptom of hyperthyroidism?

Bulging or protruding eyes

What is the medical term for a life-threatening condition characterized by severe hyperthyroidism, hypertension, heart failure, and seizures?

Thyroid crisis

Which of the following is a recommendation for patients taking antithyroid drugs?

Avoid situations that can lead to bleeding

What is the function of thyroid hormone agonist drugs during pregnancy?

Prevent problems with the fetus

Which of the following symptoms should patients check for daily while taking these drugs?

Yellowing of the skin or sclera (jaundice)

What should patients do if they do not notice a reduction of their symptoms in the first 1 to 2 weeks of taking these drugs?

Continue taking the medication as prescribed

Why should patients keep all follow-up appointments and appointments for blood-clotting tests while taking these drugs?

To monitor the effectiveness of the drugs

Why should patients avoid crowds and people who are ill while taking these drugs?

To prevent the spread of infections

What is the potential risk associated with taking antithyroid drugs during pregnancy?

All of the above

Why should women who are taking antithyroid drugs not breast-feed?

To prevent the drugs from entering breast milk

Test your knowledge on the actions and uses of antithyroid drugs in the treatment of hyperthyroidism. Explore the benefits of these drugs as short-term pre-surgery treatment or long-term prevention of thyroid hormone production.

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