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Pharamacology Essay

1469 words - 6 pages

Drug Brand Name: Synthroid Drug Generic Name: Levothroxine

Classification: Thyroid hormone
Action: Controls protein synthesis; increases metabolic rate, cardiac output, renal blood flow, O2 consumption, body temp, blood volume, froth, development at cellular level via action on thyroid hormone receptors.
Adult Dose: PO 1.7 mcg/kg/day
Side Effect:
Life Threatening: Thyroid storm, cardiac arrest.
Common: Anxiety, insomnia, tremors, headache, excitability, tachycardia, palpitations, angina, dysrhythmias, hypertension, nausea, diarrhea, increased or decreased appetite, cramps, menstrual irregularities, weight loss, sweating, heat intolerance, fever, alopecia, ...view middle of the document...

Common: Headache, weakness, dizziness, drowsiness, tinnitus, fatigue, vertigo, agitation, hypoglycemia, nausea, vomiting, diarrhea, heartburn, anorexia, metallic taste, decreased vit B12 levels, and rash.
Contraindication: Hypersensitivity to this product, or hypersensitivity to chlorobutanol (inj route) asthma, ileus.
Nursing Implications (lab value, V/S, ect.):
• Asses for hypoglycemic reaction (sweating, weakness, dizziness, anxiety, tremors, hunger), hypoglycemia reactions soon after meals; these occur rarely with this product.
Nursing diagnoses:
• Knowledge, deficient (teaching)
Patient Education:
• Teach patient to regularly self-monitor blood glucose using blood glucose meter.
• Teach patient symptoms of hypo/hyperglycemia, what to do about each (rare)
• Teach patient that diabetes is a lifelong illness, that this product controls symptoms, but does not cure the condition.

Drug Brand Name: Insulin Drug Generic Name: Insulin, regular (OTC)

Classification: Antidiabetic, pancreatic hormone.
Action: Decreases blood glucose; by transport of glucose into cells and the conversion glucose to glycogen, indirectly increases blood pyruvate and lactate, decreases phosphate and potassium; insulin may be human (processed by recombinant DNA technologies)
Adult Dose: SUBCUT dosage individualized, give within15min before or 20 min after starting a meal.
Side Effect:
Life Threatening: Anaphylaxis
Common: Blurred vision, dry mouth, flushing, rash, urticarial, warmth, lipodystrophy, lipohypertrophy, swelling, redness, hpypoglycemia, rebound hyperglycemia (somogvi effect 12-75 hr or longer), peripheral edema.
Contraindication: Hypersensitivity to protamine; creosol (aspart)
Nursing Implications (lab value, V/S, ect.):
• Fasting blood glucose, also Hgb Alc may be tested to identify treatment effectiveness q3mo.
• Urine ketones during illness; insulin requirements may increase during stress, illness, surgery.
Nursing diagnoses:
• Injury, risk for (adverse reactions)
• Knowledge, deficient (teaching)
• Noncompliance (teaching)
Patient Education:
• Advise patient that blurred vision occurs; not to change correctives lens until vision is stabilized 1-2 mo.
• Advise patient to keep insulin, equipment available at all times; carry a glucagon kit, candy, or a lump of sugar to treat hypoglycemia.

Drug Brand Name: Insulin Drug Generic Name: Insulin Lispro (Rx)

Classification: Antidiabetic, pancreatic hormone.
Action: Decreases blood glucose; by transport of glucose into cells and the conversion glucose to glycogen, indirectly increases blood pyruvate and lactate, decreases phosphate and potassium; insulin may be human (processed by recombinant DNA technologies)
Adult Dose: SUBCUT dosage individualized, give within15min before or 20 min after starting a meal.
Side Effect:
Life Threatening: Anaphylaxis
Common: Blurred vision, dry mouth, flushing, rash, urticarial, warmth, lipodystrophy,...

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