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When going from PO to IV route: give 50% of the dose
Administer apart from other meds that may decrease absorption and apart
from enteral feedings ...
biovailability is best when given in a fasting state
Monitor serum glucose especially those with diabetes, thyroid replacement
, may causes changes in glucose levels and adjustement in antidiabetic
medications may be needed
Fast acting insulin
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aspart, lispro, and glulisine
Rapid acting
Acts within 15 minutes of giving this SubQ
So we give this 5-10 minutes before a meal because if acts so rapidly
Cushing syndrome treatments
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Ketoconazole (Nizoral) - Drug of choice
Mitotane (Lysodren)- Antineoplastic drug
Metyrapone (Metopirone)-Used for diagnosis
Cousins to PTU
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, Methimazole (Tapazole)
Potassium iodide (Thyro-Block)
Radioactive iodine (131I)
Hypothalamus maintains
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homeostasis
Hyperosmolar Hyperglycemic State (HHS)
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Extreme hyperglycemia (above 600mg/dL)
Hyperosmolality (above 310 mOsm/L) with dehydration
NO KETOACIDOSIS here
Dehydration, confusion, lethargy due to osmotic diuresis
Treatment: IVF, correction of electrolyte imbalances, insulin therarpy
Adrenal crisis treatment
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