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Endocrine Drugs
usmle step 1
23
Medical
Graduate
05/20/2009

Additional Medical Flashcards

 


 

Cards

Term
Lispro
Definition
Short Acting Insulin; tx for type 1 and 2 DM, life threatening hyperkalemia and stress-induced hyperglycemia
Term
Aspart
Definition
Short acting insulin; tx for type 1 and 2 DM, life threatening hyperkalemia and stress-induced hyperglycemia
Term
Regular insulin
Definition
short acting; tx for type 1 and 2 DM, life threatening hyperkalemia and stress-induced hyperglycemia
Term
NPH
Definition
Intermediate insulin; tx for type 1 and 2 DM, life threatening hyperkalemia and stress-induced hyperglycemia
Term
Glargine
Definition
Long acting insulin; tx for type 1 and 2 DM, life threatening hyperkalemia and stress-induced hyperglycemia
Term
Detemir
Definition
Long acting insulin; tx for type 1 and 2 DM, life threatening hyperkalemia and stress-induced hyperglycemia
Term
Tolbutamide/Chlorporpamide
Definition

First generation sulfonylureas

 

Use: Type II diabetes

 

Mech: Close K+ channel in B cell -- depolarizes -- cell releases insulin

 

Tox: disulfiram like effects

Term
Glyburide/Glimepiride/Glipizide
Definition

Second generation sulfonylureas

 

Use: Type II diabetes

 

Mech: Close K+ channel on B cells and depolarizes, releasing insulin

 

Tox: hypoglycemia

Term
Metformin
Definition

Use: Oral hypoglycemic

 

Mech: insulin sensitizer

 

Tox: lactic acidosis

Term
Pioglitazone/Rosiglitazone
Definition

Use: diabetes

 

Mech: inc target cell response to insulin

 

Tox: weight gain, edema, hepatoxicity, CV tox

Term
Acarbose/Miglitol
Definition

Alpha-glucosidase inhibitors

 

Use: Diabetes

 

Mech: Inhibit intestinal brush border alpha-glucosidases -- delayed sugar hydrolysis and glucose absorption

 

Tox: GI disturbances

Term
Pramlintide
Definition

Mimetic

 

Use: Type II DM

 

Mech: decrease glucagon

 

Tox: hypoglycemia, nausea, diarrhea

Term
Exenatide
Definition

GLP-1 Mimetics

 

Use: Type II DM

 

Mech: increase insulin and decrease glucogon release

 

Tox: Nausea, vomiting, pancreatitis

Term
Orlistat
Definition

 

Use: Long term obesity management

 

Mech: Alters fat metabolism by inhibiting pancreatic lipase. (Orlistat gets rid of fat)

 

Tox: Steatorrhea, GI discomfort, reduced absorption of fat soluble vitamins, headache

Term
Sibutramine
Definition

Use:Short term and long term obesity management

 

Mech: Sympathomimetic serotonin and NE reuptake inhibitor

 

Tox: Hypertension and tachycardia

Term
Propylthiouracil, methimazole
Definition

Use: Hyperthyroidism

 

Mech: Inhibit organification and coupling of thyroid hormone synthesis.  Propylthiouracil decreases peripheral conversion.

 

Tox: Skin rash, agranulocytosis, aplastic anemia

Term
Growth Hormone
Definition
Use: GH deficiency, Turner's syndrome
Term
Somatostatin (octerotide)
Definition

Use: acromegaly, carcinoid, gastrinoma, glucagonoma

 

Mech: Inhibits the release of GH, TSH, and many digestive hormones

Term
Oxytocin
Definition
Use: stimulates labor, uterine contractions, milk let-down, controls uterine hemorrhage
Term
ADH (desmopressin)
Definition
Use: pituitary DI
Term
Levothyroxine/Triiodothyroxine
Definition

Use: Hypothyroidisn, myxedema

 

Mech: Thyroxine replacement

 

Tox: techycardia, heat intolerance, tremors, arrhythmias

Term

Glucocorticoids

 

(hydroxortisone, prednisone, triamcinolone, dexamethasone, beclomethasone)

Definition

Use: Addison's disease, inflammation, immune supression, asthma

 

Mech: decrease the production of leukotrienes and prostaglandins by inhibiting phosphlipase A2 and expression of COX-2

 

Tox: Iatrogenic Cushing's syndrome

Term
Demeclocycline
Definition

Use: SIADH

 

Mech: ADH antagonist

 

Tox: Photosensitivity, abnormalities of bone and teeth, nephrogenic DI

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