Glucose and Hormone Regulation Indications and Adverse Effects

levothyroxine indication

hypothyroidism

levothyroxine adverse effects

s/s of hyperthyroidism

levothyroxine education

take on empty stomach, lifelong treatment

methimazole indications

hyperthyroidism

methimazole adverse effects

bone marrow suppression, s/s of hypothyroidism, preg risk

fludrocortisone indication

Addisons disease

fludrocortisone adverse effects

edema, htn, ha, heart failure, hypokalemia

fludrocortisone education

lifelong treatment, take in morning

insulin indication

all diabetes

insulin adverse effects

hypoglycemia, lipodystrophy

insulin education

rotate sites, store in fridge, do not mix glargine with other meds

lispro onset peak duration

onset 15 min, peak 30-90 min, duration 2-5 hrs

regular onset peak duration

onset 30-60 min, peak 2-4 hrs, duration 5-7 hrs

NPH onset peak duration

onset 60-90 min, peak 4-12 hrs, duration up to 24 hrs

glargine onset peak duration

onset 2-4 hrs, peak none, duration 24 hrs

metformin indications

type 2 diabetes, off label for PCOS

metformin adverse effects

lactic acidosis, gi upset

metformin education

gi upset with diminish over time, take med with meals, CANNOT TAKE IF TYPE 1 DIABETIC

glyburide indications

type 2 diabetes

glyburide adverse effects

hypoglycemia, PREG RISK

glyburide education

CANNOT TAKE IF TYPE 1 DIABETIC

Glucagon Indications

hypoglycemia

Glucagon education

only give if pt is unresponsive