Thyroid hormone - supplementing

Tx hypothyroidism

Oral

Life long

Side effects are rare unless OD

Thyroid stimulating hormone

Diagnostic aid for hypothyroidism

Stops T4 production

Tx hyperthyroidism

Oral - daily

Can cover up kidney disease

Look for PU/PD, anorexia, hypothyroidism

Can cause skin eruptions

Distroies overactive tissue

Tx hyperthyroidism

Do not give if kidneys are bad - can cause kidney failure

Not long term but $

Nutritional treatment for hyperthyroidism

Restricts iodine content

Deffincency in insulin

Regular - short term

NPH

PZI

Glargine - long term

Diabetes Mellitus

Novolin R

Humulin R

Short acting

Tx ketoacidosic diabetes and newly diagonised

IM/CV injection

Diabetes Mellitus

NPH - Vetsulin, Humulin N, Novolin N

PZI -lente

Tx uncomplicated diabetes

SC injection

Diabetes Mellitus

Glargine (Lantus)

Tx uncomplicated DM

Sc injection

Keep out of direct sunlight

Do not shake

Hypoglycemia

Keep needles in non see through container

Lack of ADH from posterior pertuitary

Central - lack of production

Nephrogenic - lack of response

ADH - Desmoprssin

Hypoadrenalcorticism

Tx with cortisol and mineralocorticoid replacement

Tx addisons disease

Mineralocorticoid replacement

Oral - daily

Tx addisons disease

Mineralocortoid replacement

Give every 25 - 32 days

Injectable

Tx adiisons disease

Replace cortisol

Injectable and oral

Hyperadrenalcorticism

Adreanal tumor and PDH

Tx cushings disease

Adrenal cytotoxic agent

Oral

Watch water intake

Narrow therupudic window

Tx cushings disease

Inhibits enzyme necessary for production of cortisol and aldosterone

Oral - daily - lifetime

Tx cushings disease

MOA-B inhibitor