Pharma II Exam 4 Review PDF

- This medication is used for Graves\' disease; hyperthyroidism; make sure to check liver function; assess clinical manifestation of hyperthyroidism. - **PROPYLTHIOURACIL -- PTU** - When you have clinical manifestations of hypertension; the medication for this is ketoconazole...

- This medication is used for Graves\' disease; hyperthyroidism; make sure to check liver function; assess clinical manifestation of hyperthyroidism. - **PROPYLTHIOURACIL -- PTU** - When you have clinical manifestations of hypertension; the medication for this is ketoconazole; mood swings, chubby face, moon face, humpback, and the cortisol levels are elevated. - **CUSHINGS DISEASE** - S/S: fever, tachycardia, agitation, restlessness, everything is elevated; associated with hyperthyroidism - **THYROID STORM** - Mechanism of which the body no longer needs a specific hormone stimulator - **NEGATIVE FEEDBACK** - This medication is used for cancer it increases neutrophils and increases leukocytes - FILGASTRIM - This medication is used for breast cancer; pregnancy category D; not for breastfeeding - Tamoxifen - This medication is given for cancer: non-Hodgkin's lymphoma, T cell lymphoma, Crohn's; but also given for psoriasis and rheumatoid arthritis - Methotrexate - This is what is secreted in the body in response to low blood sugar levels - Glucagon - give this medication for anemias; low red blood cells; also known as cyanocobalamin - B12 - With this medication watch for fevers and chills; monitor the liver; monitor the CBC; thyroid is working if patient begins to lose weight; used for hyperthyroidism - Methimazole - What does a body need to be able to absorb calcium - vitamin D3 - This plays a role in the synthesis of T3 and T4; used to suppress the thyroid before surgery - RADIOACTIVE IODINE I -131 - Which insulin do you give at hour of sleep to monitor blood sugar from dropping at night; long acting - Glargine (Lantis) - Intermediate acting; cloudy - NPH - when mixing insulin clear goes into cloudy - Regular insulin fast acting; used for sliding scale - Someone with DKA place them on what insulin drip - regular - only pharmacy can mix it - 1:1 ratio - Watch for low grade fever; can\'t handle any type of stress (They don\'t have enough cortisol to handle stress); they will need high doses of hydrocortisone because they have what? - ADDISON'S DISEASE - This is a disease process with autoimmune response - Hashimoto's disease (hypothyroidism) - Medication for Hashimoto's disease or hypothyroidism - Levothyroxine (micrograms not mg) - education for levothyroxine - give at 0600 to be able to digest - give same time every morning - wait one hour to eat - This is a diabetes medication; it can cause GI upset; it can cause lactic acidosis; hold if patient gets CT scan with contrast - METFORMIN - give this medication for acromegaly - OCTREOTIDE IV or PO - education for Octreotide - Constipation, don\'t be scared if stool is dark and tarry; take with iron supplements - Someone has cancer and needs to increase RBC production gets a shot to help stimulate body to produce more RBC - erythropoietin/epoetin alpha - Sure to watch for thrombolytic events - when taking iron supplements when is it administered - 1 hour before or 2 hours after meals - take with a full glass of water or juice - This stimulates neutrophil production for those patients who have low white blood cells due to cancer - COLONY STIMULATING FACTORS - Used for Hodgkin\'s Lymphoma; a cancer Med; serious side effect is tingling in hands and feet; pregnancy category D; neurotoxic - VINCRISTINE - This medication is cardiotoxic; 3-6 months after finishing medication your patient can experience heart failure; chemo medication; do not take if pregnant; cardiotoxic - DOXORUBICIN - This is responsible for glucose homeostasis in the body - INSULIN; GLUCAGON - What is generic name for NovoLog or Aspart - regular insulin (NovoLog & Aspart is brand name) - Acue checks are done four times a day - KNOW WHICH INSULIN IS INTERMIDIATE AND LONG LASTING - HYPOGLYCEMIA S/S COOL CLAMY, FATIGUE, DIAPHORTEIC - Group of medications for Type 2 diabetics; metformin is in this group - BIGUANIDE - This medication is given for endocrine issues; it can also be given for nighttime wetting (nocturia); GIVEN FOR DI; Hemophilia; this is a synthetic vasopressin - DESMOPRESSIN - The opposite of DI is SIADH - Give this for Adrenal Cortisol Insufficiency - COSYNTROPIN - Oral medication that increases glucose secretion in the urine - DAPAGLIFLOZIN (FARXIGA) - Medication given for hypothyroid; given NPO; must take for the rest of your life - LEVOTHYROXINE