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...
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
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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