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Exam (elaborations)

Nur 140 Exam 3 Review Questions and Correct Answers

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  • Course
  • NUR 140
  • Institution
  • NUR 140

Histrelin palliative treatment of advanced prostate cancer; prevents growth/size of the tumor thus decreasing pain; subq implant that is replaced every 12 months - analogue of gnrh; drugs inhibit pituitary gonadotropin secretion Somatropin used to treat growth hormone deficiency (Dwarfism) - can...

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  • September 29, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 140
  • NUR 140
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Nur 140 Exam 3 Review Questions and
Correct Answers
Histrelin ✅palliative treatment of advanced prostate cancer; prevents growth/size of
the tumor thus decreasing pain; subq implant that is replaced every 12 months

- analogue of gnrh; drugs inhibit pituitary gonadotropin secretion

Somatropin ✅used to treat growth hormone deficiency (Dwarfism)

- can only use before the ephiseal plates close

-adverse effects:swelling/joint pain/ hypothyroidism and insulin resistance

Ocreotide ✅-treatment of too much GH (gigantism/acromegly); caused by pituitary
tumors and can happen any time during life

-used for GI bleeds

-subq injection; lowers GH with little effect on insulin release

Diabetes Insipidus ✅- characterized by the production of a large amount of dilute urine
containing NO GLUCOSE (rare metabolic disorder caused by deficiency in ADH -
usually caused by a pituitary tumor)

- blood becomes concentrated and blood glucose levels higher than normal

-polyuria and polydipsia

Too little ADH ✅diabetes insipidus

Too much ADH ✅SIADH; Syndrome of inappropriate antiduiretic hormone

Chorionic gonadotropin alpha (Ovidrel) ✅- Anterior pituitary hormone
-given subq after last doese of FSH stimulator; used to improve chances of pregnancy

- induction of ovulation
- used in patients with irregular ovulation or no ovulation

Desmopressin (vasopressin) ✅- synthetic preparation of ADH (posterior pituitary
hormone)

- treats diabetes insipidus and hemophillia A; INTRANASAL

, - contraindication: vascular disease due to effects on vascular smooth muscle, epilepsy,
or hyponatremia

Cushing Syndrome ✅adrenal excess

Characterized by central obesity, large fat deposit on neck

-typically caused by a tumor; need surgical removal

Addison's disease ✅Adrenal Insufficiency

S/S: confusion, hypotension, fatigue, poor response to stress, weakness, hypoglycemia,
hyponatremia

Treatment: steroid replacement therapy

- must plan for extreme stress;

Adrenal Crisis ✅untreated addison, or not treated addison's with stress

S/S; physiological exhaustion, hypotension, fluid shift, shock, death

Treatment: massive infusion of replacement steroids, constant monitoring and life
support procedures

Glucocorticoids ✅Stimulate an increase in glucose levels for energy
, increase rate of protein breakdown, decrease rate of protein formation , causes
lipogenesis

-decrease inflammation and used for injuries, COPD, asthma, resp infection, arthritis

What happens to the adrenal glands when a normal functioning patient receives
corticosteroids? ✅glands stop functioning and atrophy; dosage needs to be tapered off
so that the glands can start working properly again

Prednisone ✅only given PO

-replacement therapy in adrenal cortical insufficiency, short-term management of
various inflammatory and allergic disorders

Heightened stress response? ✅- elevated glucose

- reduced inflammatory response

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