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Lecture notes for endo drugs nursing
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If a patient is taking corticosteroids, what is one of the most important potential nursing diagnoses? o Disturbed body image related to moon face or weight-gain A HCP orders drugs to treat diabetes insipidus, what time does he want these drugs to be taken? o Nighttime because it helps to control excessive urination which usually happens at night Autoimmune disorders like SLE, MS, MG can be managed by taking which drug? o Cosyntropyn Vasopressin is used to treat hypotensive emergencies such as______? o Shock We say that it is important to assess blood sugar in which categories of drugs? o Corticosteroids because they raise the blood sugar Which vital sign is most important to check when taking endocrine drugs? o Blood pressure Over secretion of the adrenal leads to what disorder and under secretion leads to what disorder? o Cushing’s Addison’s Adrenal cortical insufficiency leads to which disease? o Addison’s
Which is the preferred oral drug in the corticosteroid category? o Prednisone What glucocorticoid has the side effect of mood swings? o Hydrocortisone Dexamethasone is a drug used for inflammation. What conditions is this drug used most? o Cerebral edema, spinal fluid accumulation, spinal cord injury Patients that take corticosteroids have an increase in what, and what can you expect the HCP to order? o Blood sugar, Accu-checks & Insulin If a patient is taking prednisone, what do we expect to see what to increase and what to decrease? o Increase in blood sugar and Na, decrease in K When educating a patient about oral prednisone, what should you include in your teaching to the patient to avoid GI upset? o Food and/or milk Give me an example of a food that you would avoid when you are thinking of iodine preparation? o Soy milk Name one example of a radioactive drug. o Propylthiouracil When someone is taking an inhaled steroid, what nursing education would you provide?
o Increase fluid intake, do not live with children when taking this medication, flush toilet a couple times at work, be careful when coughing. Your patient states, “I feel better so I am going to stop taking this medication.” How do you respond? o This medication is lifelong. You need to take it every day in the morning, at the same time. How do you stop taking these medications? o You must taper these medications. You should not stop the medication abruptly because you may experience adrenal crisis.