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NUR 226 Patho/PharmBlue PrintENDO/ GI. Insulin types, action, peak, duration, how to administer, timing, compatibility, which is given IV, I would know power point slide Table 45.1 Types of Insulin, & slide of Insulin therapy which came from nursing skills Professor Bachour Mediations: Know therapeutic levels where appropriate, nursing implications, adverse reactions, how to determine if drug is effective, expected outcome, dietary concerns, when to call the provider:PPI-OmeprazoleH2blockers-RanitidineAntacids-difference in types, Aluminum hydroxide, MaaloxDocusate sodiumLactuloseCorticosteroids hydrocortisoneLevothyroxineDiagnosis: etiology, signs and symptoms, associated lab values, treatments, medications prescribedPeptic Ulcer DiseaseHiatal Hernia- part of the stomach protrudes into the thoracic cavidityGERDType 1 and Type 2 diabetes, potential complications DKA, Hyper & hypo thyroidism/ thyroid stormAddison’s/Cushing’sHepatitis A and Hepatitis BGastritis Diverticulitis/DiverticulosisSIADHCirrhosis/complications/pruritusDiabetes InsipidusChron’sDumping SyndromeEndocrine SystemConsists of glands that secrete hormonesMaintains homeostasis using hormones as chemical messengersSecreted in response to changes in internal environmentHormone release commonly controlled by negative feedbackOne hormone may control anotherEndocrine system works simultaneously with neuro system
3 major componentsglands- specialized clusters or organshormones- chemical substances secreted by glands in response to stimulations, regulates body functionsreceptors- protein molecules that bind specifically with other molecules, like hormones, to trigger specific physiologic changes in target cellHypothalamus and pituitary glandsControl many other glandsHypothalamus secretes releasing hormones and inhibiting hormonesoDirect anterior pituitary glands as to which hormones should be released or decreasedPosterior pituitary releases hormonesoIn response to nerve signals from hypothalamusHormones in hypothalamusoCRH, TRH, GHIH, PIH, GHRH, GnRH, MSH-IHHormones in anterioroACTH, TSH, GH, PRL, FSH, LH, MSHHormones in posterioroADH, OxytocinHormone release- controlled by negative feedback mechanismsNegative feedbackCommon for last hormone in pathway to provide feedbackAs serum calcium levels fall, PTH is relasedPTH causes increase in serum calciumProvides feedback to parathyroid glands to shut off PTH secretionHelps prevent excessive secretion of hormones, limiting their physiologic responsesEndocrine disordersTwo categories: an excessive amount of hormone or deficit of hormoneExcessive hormone levelsoTumorsoexcretion by liver or kidney is impairedocongenital condition produces excess hormoneDeficit of hormone or reduced effectsoTumoroInadequate tissue receptors present