Question

16. Fludrocortisones (Florinef) a. What type of medication is this? M_ b. Action: Increases _reabsorption in renal tubules and Increases _and hydrogen excretion = water and sodium retention C. Indications for use d. Is this medication given in combination with glucocorticoids? Why? e. Contraindicated in hypertension, CHF, heart disease - Why? f. Adverse reaction - i. Why headache (frontal/occipital) ii. Other adverse effects: why edema? and ? 8. Nursing Assessment: electrolytes, VS plus? What electrolyte imbalances would you monitor for? h. What nursing diagnoses would you identify for a patient taking Florinef i. What would you expect the patient's blood glucose to be when taking a corticostero 17. Define Hypothyroid and Hyperthyroid a. What is the role of iodine in thyroid function? b. What hormones are produced by the thyroid gland? c. Identify major symptoms of hypothyroid and hyperthyroid 18. What does calcitonin do? 19. What is Myxedema Coma? What is Thyroid storm? 20. What is the best screening blood work for thyroid function? (TH 21. When is screening recommended for adults - age 35 and then every years 22. Severe hypothyroidism is associated with elevated C___E_E__L levels 23. Levothyroxine (T4) Synthroid or Levothroid a. Onset? b. When would the patient expect to see improvement? C. Identify significant side effects d. What symptoms / side effects should the patient be instructed to call and tell the physician? e. Patient Teaching? f. Drug interaction - Decreased digitalis levels, Diabetic patients may require ? g. How should this medication be taken?

Answer 1

16.Fludrocortisone:

a.Fludrocortisone belongs to a type of steroid (mineralocorticoid, glucocorticoid)

b.The main action of it is to increase the sodium absorption in the renal tubules this leads to accumulation of water and sodium retention in the extravascular and intravascular cells with its effect in excretion of excess potassium this ultimately increases the cardiac output and the blood pressure of the patient

Ans:sodium,potassium

c.Indication:

• Severe orthostatic hypotension
• Congenital Adrenogenital syndrome which loses the salt
• Addison disease

d.The fludrocortison is a mineralocorticoid effect which will increase the glucocorticoid effect ,when used in combination it can alter body composition leading to adverse reactions in the patient .So it is not combined with glucocorticoid