Nursing 212

Health Differences Across the Lifespan 2 Study Guide

Drugs to treat diabetes insipidus: • Desmopressin (DDAVP) • Vasopressin (Pitressin) Drugs for adrenal replacement therapy (glucocorticoids) Generic (Trade) Name Betamethasone (Celestone)

Actions/Uses Little or no mineralcorticoid action

Cortisone acetate Both mineralcorticoid and glucocorticoid action Dexamethasone (Decadron) Little or no mineralcorticoid action Hydrocortisone (Cortef) Both mineralcorticoid and glucocorticoid action Methylprednisolone (Medrol) Little mineralcorticoid action Prednisolone (Delta-Cortef) Both mineralcorticoids and glucocorticosteroids action Prednisone (Meticorten) Little mineralcorticoid action Triamcinolone (Aristacort) Little or no mineralcorticoid action Drugs for diagnosing and treating hypothyroid disease Generic (Trade) Name Actions/Uses Levothyroxine (Levothyroid and Synthroid) Chemically pure form of T4 and preferred therapy for hypothyroidism; given in an IV for myxedema coma Liothyronine (Cytomel) Chemically pure form of T3; not used for cretinism since T3 does not cross the blood brain barrier as well as T4 does Liotrix (Thyrolar, Euthyroid) Chemically pure T4 and T3 in 4:1 ratio; used for hypothyroidism Dessicated thyroid (Thyroid USP) Older porcine formulation with less reliable concentrations than synthetic forms; used only by clients who have taken it for years Drugs used to diagnose adrenal gland insufficiency: • Corticotropin HP (Acthar Gel) • Cosyntropin (Cortrosyn) • Metyraponse (Metopirone)

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