Chapter 20

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Author:
corirussell
ID:
54699
Filename:
Chapter 20
Updated:
2010-12-09 21:15:11
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Pharmacology
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Description:
Hormones
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  1. Endocrine Glands
    • Pituitary
    • Thyroid
    • Parathyroid
    • Pancreas
    • Adrenals
    • Gonads
    • Placenta
  2. Anterior Pituitary
    • Growth Hormone (GH)
    • Somatotropin
    • Luteinizing Hormone (LH)
    • Follicle Stimulating Hormone (FSH)
    • Thyrotropin
    • Adrenocorticotropic Hormone (ACTH)
    • Prolactin
  3. Bromocriptine
    (Parlodel)
    • Inhibits anterior pituitary function
    • -Dopamine inhibits prolactin
  4. Posterior Pituitary
    • Vasopressin
    • Oxytocin
  5. Thyroid
    • *Normal function requires iodine; deficiency causes goiter
    • -Hyperthyroidism -Hypothyroidism
    • Fight or flight Rest or digest
    • Grave's Disease Child=Cretinism
    • Plummer's Disease Adult=Myxedema
    • Hashimoto's Disease
  6. Thyroid Treatment
    • Thyroid Replacement (Hypo)-
    • *Levothyroxine (synthroid)
    • *Liotyronine (Cytomel)
    • *Liotrix (Thyrolar)
    • *Thyroglobulin (Proloid)
    • *Desiccated Thyroid
    • Antithyroid (Hyper)-
    • *Iodine
    • *Propylthiouracil (PTU)
    • *Methimazole (Tapazole)
    • *Radioactive Iodine
    • *Partial Thyroidectomy
  7. Diabetic Cautions
    • *Drugs that may increase or decrease insulin and should be used with caution.
    • -Epi
    • -Glucocorticoids
    • -Opioid analgesics
    • Okay if diabetes is under control
  8. Diabetes Treatment
    • Type 1-insulin
    • Type 2-Diet and exercise, sulfonylureas, biguanides, alph-glucosidase inhibitors, Thiazolidinediones
  9. Types of Insulin
    • Rapid- Novolin R, Humulin R, Semilente
    • Intermediate- NPH, Humilin H, Lente
    • Long- PZI, Humulin U, Ultralente
    • Mixed
  10. Sulfonylureas
    • First line of treatment after diet and exercise
    • "Glyburide is the most common"
    • Stimulates the release of insulin from pancreas
  11. Biguanides
    • Metformin-used most commonly used even though sulfs are used first
    • Inhibits production of glucose from liver
    • Main problem is is lactic acidosis
  12. Alph-Glucosidase Inhibitors
    • Acarbose
    • Slows down the breakdown of ingested fats
    • Slightly less effect than the two already mentioned
    • Can be used for both diabetic types
  13. Thiazolidinediones
    • Troglitazone
    • Reduces insulin resistance
    • Can decrease hematocrit
  14. Oral Contraceptives
    • Higher chance of dry socket
    • Higher chance of candida infection
    • Decreased glucose tolerance
    • Antibiotic interaction
    • Can increase blood pressure

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