NR293 Exam 3 Webinar
Professor Rinehart
,Chapter 30: Pituitary drugs
• 1) Somatroprin (Humatrope)
• Growth Hormone
• 2) Vasopressin (Pitressin)
• Used for diabetes insipidus
Bleeding (esp. GI bleeding) and pulseless cardiac arrest / vasodilatory
shock
Nasal or injection via IM or IV
• Nursing considerations for Vasopressin
• IV infiltration can cause serious tissue necrosis
• Hypertension can be a side effect
• Can be administered nasally
• Only use IV solution that is clear
• Urinary output should decrease after administration of medication
,Chapter 30: Pituitary drugs
• 3) Desmopressin (DDAVP)
Indications: Diabetes insipidus, enuresis, hemophilia
SC, IV, nasal spray pump
• Nursing considerations
• Nasal administration: clear nasal passage before administration
• Nasal admin: you need to prime med & reprime weekly
• Nasal admin: if 2 sprays are ordered, give 1 spray to each nostril; if only 1 spray,
alternate nostrils
• Side effects may include fever, headache, and abdominal cramps
• Urine output should decrease if med is therapeutic
• IV administration: if extravasation occurs, can cause tissue necrosis
• Only administer clear solution
, Chap 31: Thyroid & anti-thyroid drugs
• What is the most common thyroid replacement drug & Why?
• Levothyroxine (Levoxyl or Synthroid)
• Standardized hormonal content= predictable response
• *Review s/s of hypo & hyperthyroidism
• Nursing considerations & client education
• Take in morning on empty stomach
• Takes 3 to 4 weeks to see full therapeutic change: (will need
periodic lab testing)
• Decreased dose required for elderly
• Increased dose for pregnancy
Professor Rinehart
,Chapter 30: Pituitary drugs
• 1) Somatroprin (Humatrope)
• Growth Hormone
• 2) Vasopressin (Pitressin)
• Used for diabetes insipidus
Bleeding (esp. GI bleeding) and pulseless cardiac arrest / vasodilatory
shock
Nasal or injection via IM or IV
• Nursing considerations for Vasopressin
• IV infiltration can cause serious tissue necrosis
• Hypertension can be a side effect
• Can be administered nasally
• Only use IV solution that is clear
• Urinary output should decrease after administration of medication
,Chapter 30: Pituitary drugs
• 3) Desmopressin (DDAVP)
Indications: Diabetes insipidus, enuresis, hemophilia
SC, IV, nasal spray pump
• Nursing considerations
• Nasal administration: clear nasal passage before administration
• Nasal admin: you need to prime med & reprime weekly
• Nasal admin: if 2 sprays are ordered, give 1 spray to each nostril; if only 1 spray,
alternate nostrils
• Side effects may include fever, headache, and abdominal cramps
• Urine output should decrease if med is therapeutic
• IV administration: if extravasation occurs, can cause tissue necrosis
• Only administer clear solution
, Chap 31: Thyroid & anti-thyroid drugs
• What is the most common thyroid replacement drug & Why?
• Levothyroxine (Levoxyl or Synthroid)
• Standardized hormonal content= predictable response
• *Review s/s of hypo & hyperthyroidism
• Nursing considerations & client education
• Take in morning on empty stomach
• Takes 3 to 4 weeks to see full therapeutic change: (will need
periodic lab testing)
• Decreased dose required for elderly
• Increased dose for pregnancy
