Thyroid Replacement
- It could take several months to replace thyroid hormones and get back to normal thyroid hormone levels
Oral Hypoglycemics
-Action
- Increase Sensitivity of insulin receptors
2. Increase production of insulin
Hypoglycemic Medication
-Meglitinides
- Hypoglycemia is most common adverse effect
Hypoglycemic Medication
-Thiazolidinediones
- rosiglitazone (Avandia)
Hypoglycemia does not occur w/ drugs in this class
Hypoglycemic Medication
-Alpha-Glucosidase inhibitors
- Precose
Hypoglycemia does not occur
Hypoglycemic Medication
-Biguanides
- Metformin
Does not cause Hypoglycemia
Hypoglycemic Medication
-Sulfonylureas
- glipizide (Glucotrol)
Hypoglycemia is most common adverse effect
Pt Receiving Insulin Therapy
-Implementation
- Feed client simple sugar at first sign of hypoglycemia
- Follow up with complex carbs and proteins
Ex simple sugars :
-fruit, Junk Food, Dairy products, Honey
Antacids
- Neutralizes acid
- pH of stomach increases when on antacids
- Take antacids 2 hrs before or after medications
Isotonic Solutions
-Given for
- Low extracellular volume
- Fluid volume deficit from hemorrhage
- Severe vomiting or diarrhea
- Shock, mild hypoatremia, metabolic acidosis, hypercalcemia
Isotonic Solutions
-Caution with
- Cardiac or Renal Dz
- Potential for fluid volume overload
Hypotonic Solutions
-Used for
- intracellular dehydration
- Diabetic ketoacidosis
- HHS
- Used when fluid needs to be shifted into the cell
Hypotonic Solutions
-contraindication
- Risk for increased ICP
- Liver dz
- Trauma
- Burns due to the potential for depletion of IV fluid volume
Hypertonic Solution
-Used for
- Severe hyponatremia
- Cerebral edema
- Volume expanders
Hypertonic Solution
-Contraindications
- Cardiac or Renal conditions who are dehydrated
- can cause hypervolemia - Pt’s w/ conditions causing cellular dehydration (Diabetic ketoacidosis)
