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somatropin
MOA:
GH replacement
SQ, IM
use:
increase GH
AE:
hyperglycemia
bone pain
HA
visual change
teach:
monitor growth/development
growth plateaus
octreotide
MOA:
GH antagonist
act directly on postsynaptic domaine in brain
IM, SQ
use:
decrease acute GI/variceal bleed
decrease carcinoid tumor
AE:
CNS
abd cramp
gallbladder
hypothyroidism
teach
stand slow
monitor blood glucose
desmopressin/vasopressin
MOA:
ADH replacement
IV, IM, Intranasal
use:
decrease DM
decrease urine output
improve fluid and electrolyte
AE
SIADH
nasal dryness
teach
monitor weight and IO
monitor electrolyte, sodium
SIADH
Syndrome of Inappropriate Antidiuretic Hormone
body holds too much water
↓ Na⁺ (hyponatremia) → confusion/seizures