· What is the relationship between T3, T4 and TSH?

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· What is the relationship between T3, T4 and TSH?

Endocrine Medications

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Answer in 25 words or less if possible.

Use your own words only.

Thyroid

· Which three hormones are produced by the thyroid gland?

· What is TSH and which gland produces it?

· Why do we need iodine?

· What is the relationship between T3, T4 and TSH?

1. Medications for Hyperthyroidism. Fill in the Nursing Intervention for each side effect.

Medication

Side effects

Nursing Intervention

Radioactive Iodine

· Radiation Sickness

· Bone Marrow Depression

· Hypothyroidism

a)

b)

c)

Propylthioracil

(PTU)

· Overmedication

· Agranulocytosis

· Hepatitis

a)

b)

c)

· Which conditions are contraindicated with the two medications above and why?

· Why do patients diagnosed with hyperthyroidism have surgery?

· Why is eye care important for hyperthyroidism?

· Where are the parathyroid and what condition may develop as a complication of thyroid removal surgery?

1. Medications for Hypothyroidism. Fill in the client education for each side effect.

Medication

Side Effects

Patient Education

Levothyroxine (Synthyroid)

· Overmedication

Tachycardia

Heat Intolerance

Weight loss

Diaphoresis

Anxiety

·

·

·

·

·

· Give two contraindications for the medication listed above.

  12.  Give two medication interactions for Synthyroid and provide a rationale.

  13. Give two food interactions and provide a rationale.

· Give two nursing administration consideration for Synthyroid.

Adrenal.

1. Fill in the following table. Give a brief description of disorder in your own words. For each side effect describe the intervention and education. (The disorder is given, please fill in the rest).

Disorder and

Medication

Side effects (Give 3)

Nursing Intervention/Client Education

Addison’s

Cushing’s

1. Name one condition that is contraindicated for medications used to treat Addison’s disease.
2. Name one condition that is contraindicated for medications used to treat Cushing’s disease.
3. Fill in the following table. Give a brief description of disorder in your own words. For each side effect describe the intervention and education. (The disorder is given, please fill in the rest).

Disorder and

Medication

Side effects (Give 3)

Nursing Intervention/Client Education

Conn’s syndrome

Pheochromocytoma

· Name one condition that is contraindicated for medications used to treat Conn’s syndrome.

· Name one condition that is contraindicated for medications used to treat Pheochromocytoma.

Fill in the following table.

1. Describe what diabetes insipidus and a nursing intervention.
2. Describe what SIADH and a nursing intervention.

DIABETES MEDICATIONS

1. Please fill in the following insulin chart. (The first one is done as example).

Classification

Insulin

Onset of action

Peak

Duration

Rapid/ fast acting

Lispro(Humalog)

15 minutes or less

0.5-1 hour

3-4 hours

Short Acting

Regular Insulin

Intermediate

NPH Insulin

Long acting

Glargine (Lantus)

1. Mr. Smith gets his breakfast tray at 8am. At what time should the Nurse administer Regular Insulin (Humulin R) and what is the rationale behind it?
2. Oral Diabetic Medications

Class/Medication

Action

Side effects

Nursing and client teaching

Sulfonylureas

Meglitinides

Biguanides

(Metformin)

Thiazolidinediones

Alpha Glucosidase inhibitors

Glipitines

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