34 Questions
What is the standard of care for long-term treatment of hypothyroidism?
Taking the medication in the morning on an empty stomach
Which adverse effect is more likely to occur in elderly individuals or those with heart disease when taking thyroid drugs?
Cardiovascular events
What is a black box warning associated with antithyroid drugs like propylthiouracil (PTU)?
Severe liver injury or acute liver failure
Which condition warrants caution when using antithyroid drugs like propylthiouracil (PTU)?
Cardiovascular disease
What is a nursing implication for patients taking antithyroid drugs like propylthiouracil (PTU)?
Ensuring even distribution of doses around the clock
What should be monitored in patients taking antithyroid drugs like propylthiouracil (PTU) due to possible hematologic effects?
Complete blood count (CBC)
What is the primary reason for using alternate day therapy with corticosteroids?
To mimic endogenous secretion and decrease the risk of renal insufficiency
Which condition is NOT typically treated with corticosteroids according to the text?
Endocrine disorders like diabetes
What are some of the musculoskeletal effects associated with prolonged corticosteroid use?
Hypocalcemia leading to osteoporosis
Which of the following is a common integumentary effect of corticosteroid therapy?
Stretch marks
What CNS symptom might a patient experience due to corticosteroid therapy?
Insomnia
Which of the following is a cardiovascular symptom associated with corticosteroid use?
Hypotension
What is the main purpose of glucocorticoids?
Increase glucose in the blood
In which condition would a patient most likely need glucocorticoids?
Ulcerative colitis
Why is it important to schedule corticosteroids appropriately?
To avoid adrenal insufficiency
What is one of the adverse effects of glucocorticoids?
Weight gain
When might a patient need glucocorticoids for respiratory issues?
COPD exacerbation
What is the primary mechanism of action of glucocorticoids?
Decreasing inflammation
What is the function of stress doses in patients with adrenocortical insufficiency?
To compensate for the body's normal response to stress
Which adverse effect is associated with drugs used to treat Cushing's syndrome?
Hepatotoxicity
What is the mechanism of action of ketoconazole in treating Cushing's syndrome?
Prevents conversion of cortisol to 11-deoxycortisol
Why should PO doses of ketoconazole be taken with food?
To decrease gastric irritation
What should be taught to patients receiving drugs for adrenal gland disorders regarding their treatment?
Lifetime replacement may be necessary
Which endocrine effect is associated with stress doses in patients with adrenocortical insufficiency?
Hyperglycemia
Which drug acts to decrease capillary permeability and increase retention of sodium and water?
Fludrocortisone
What is the black box warning associated with drugs used to treat Addison's disease?
Should not receive live virus vaccines
What is the mechanism of action of desmopressin acetate (DDAVP) in treating neurogenic diabetes insipidus?
Decreases urine volume by increasing cAMP
Which drug is used to inhibit gonadotropin, thereby decreasing testosterone and estrogen?
Leuprolide acetate
What is the primary use of calcium preparations such as calcium carbonate (Tums)?
Relief from indigestion/heartburn
Which hormone is responsible for stimulating skeletal, muscle, and organ growth?
Somatropin
Which drug is used for acromegaly and works by inhibiting serotonin, GH, and insulin?
Octreotide
What is the main side effect associated with vitamin D supplementation?
Hypercalcemia
What is the primary use of somatropin in drug therapy?
Stimulate growth in children with growth deficiency.
What is the key role of calcitriol in bone metabolism and calcium regulation?
Increases serum calcium levels.
Test your knowledge on thyroid drugs including drug names, classes, mechanisms of action, uses, adverse effects, contraindications, and nursing implications. Explore the standard of care for long-term treatment of hypothyroidism, symptoms of hyperthyroidism, and important considerations for administration.
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