Endocrine Medication medical surgical nursing

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         This topic includes endocrine medication of medical surgical nursing   like antidiuretic hormone desmopressin , thyroid med. levothyroxin sodium, propylthiouracil, vasopressin , dexamethasone , hydrocotisone, oestrogen and insulin . this will provide their uses , side effects etc . 

       In Medical surgical Nursing Endocrine system medication and disorder plays an important role and in the examination like AIIMS ,  ESIC , Railway , pgimer and various state nursing examination 

**** Endocrine Medication****

1. Antidiuretic hormones :-

    •  Desmopressin acetate and vasopressin. 
  • Antidiuretic hormone are used in Diabetic insipidus. 

Side effect of Antidiuretic Hormones :-

  •  water intoxication, hypertension with Water intoxication, and abdominal cramp, runny nose
  • Signs of water intoxication:- drowsiness ,shortness of breathing, headache. 

2. Thyroid medications :- 

    •  Levothyroxine sodium is commonly used as thyroid medication to replace thyroid hormone deficiet in condition such as Hypothyroidism and myxedema coma
    •  
    • Thyroid medication should be given at least four hours apart from multivitamins aluminium hydroxide and magnesium hydroxide because this medication decrease the absorption of thyroid replacement
    • Levothyroxine sodium should be taken on empty stomach in the morning at same time each day 

3. Antithyroid medication:–

    • Thyroid medication includes propylthiouracil, potassium iodide and sodium iodide. 

  • Medication are used for hyperthyroidism or Graves disease. 

Side effects of Antithyroid medication :–

  • Iodism :- characterized by vomiting abdominal pain metallic or brassy taste in mouth, sore gums . 



  • Agranulocytosis with leukopenia and thrombocytopenia. 


Intervention:-

    •  Teach patient not to stop the medication abruptly
  • Avoid aspirin and medicine containing Iodine
  • Instruct the patient to take medicine with the food to avoid GI disturbance

  • Propylthiouracil causes agranulocytosis if patient develops fever or sore throat advise him to contact physician

4. Parathyroid medication :-

    • Calcium salt administered with digoxin increases the risk of digoxin toxicity.
  • Asses for symptoms of tetany in patient with hypocalcemia. 

5. Glucocorticoids:

    • Medication include dexamethasone, hydrocortisone , methylprednisolone and betamethasone. 

Side effect of glucocorticoids :-

    • Hyperglycemia ,growth retardation in children , increased risk of infection , moonface ,obesity, weight gain and hypokalemia
  • Glucocorticoid are contraindicated in psychosis and fungal infection.
  • Advice patient to eat food high in potassium. 

6.   Estrogen:-

  • Oestrogen are contraindicated in patient with breast cancer, endometrial cancer and suspected pregnancy and lactation

7. Insulin and oral hypoglycemic medication:-

    • Metformin side effect most common is diarrhoea and serious is lactic acidosis

    • Acarbose should be taken with first bite of food. 
    •  Short acting insulin is regular insulin. 
    •  
    • Intermediate acting insulin is nph. 
    •  
    • **Main areas for injection are abdomen Arms(posterior surface), thigh (anterior surface) and hips. 
  • Insulin syringe used are 27 to 29 long that is about half inch long

Mixing of insulin:-

 

Mixing of insulin

 

  • Rapid and short acting insulin are only type of that can administered IV

Pdf file :-  Endocrine Medication pdf

Note:- These details are only for nursing notes plz do not correlate with health. Consult doctor for any authenticity and visit dr. For any  medicine details.