Pituitary and Parathyroid Hormones



Pituitary and Parathyroid Hormones















Table 48-1 Pituitary and Parathyroid Hormones









































Prototype Drug


Related Drugs


Drug Classification




Anterior Pituitary Hormones


bromocriptine mesylate (Parlodel)


octreotide (Sandostatin) pegvisomant (Somavert)


GH Antagonist


corticotropin (Acthar, HP)


cosyntropin (Cortrosyn)


Adrenocorticotropic Hormone (ACTH)


somatrem (Protropin)


somatropin (Humatrope, Nutropin, Saizen)


Growth hormone (GH)




Posterior Pituitary Hormones


vasopressin (Pitressin)


desmopressin acetate (DDAVP)


Antidiuretic hormone (ADH hormone)


lypressin (Diapid)


There is no prototype at this time


calcitonin-human (Cibacalcin)


Parathyroid Hormones


calcitonin-salmon (Calcimar, Miacalcin)


teriparatide (Forteo)



PITUITARY AND PARATHYROID HORMONES CLIENT TEACHING


Adrenocorticotropic Hormone (ACTH)



  • Notify other health care providers, including dentist or specialist if taking ACTH.


  • Do not take OTC or herbal remedies without consulting health care provider.


  • Avoid vaccines during therapy.


  • Avoid alcohol during therapy.


  • Do not discontinue abruptly.


  • Notify health care provider if signs of infection or muscular pain occur.


  • Carry MedicAlert identification.





Growth Hormone (GH)



  • Keep a journal of growth measurements.


  • Maintain follow-up care with health care provider that includes laboratory testing and bone age determinations.



GH Antagonists



  • Rotate injection sites.


  • Report symptoms of hyper- or hypoglycemia or irritation at injection site to health care provider.


  • May take at bedtime or between meals to minimize GI effects.



Antiduretic Hormones (ADH)



  • Report symptoms of water intoxication to health care provider and hold medication if symptoms occur.


  • Take as directed and maintain follow-up care with health care provider.


  • Clients with diabetes insipidus should carry MedicAlert identification.


  • Do not take OTC or herbal remedies without consulting health care provider.


  • Avoid alcohol while taking ADH.



Lypressin (Diapid) for Treatment of Nocturia



  • Administer 1 to 2 sprays intranasally when urinary frequency increases.


  • Bedtime dose can be taken if daily dose doesn’t control nocturia.


  • Do not inhale medication.



Parathyroid Hormones



  • Take at bedtime to avoid nausea and flushing.




Nasal Spray: Calcitonin-Salmon (Miacalcin, Calcimar)



  • Blow nose before using nasal spray and do not inhale while spraying.


  • Follow manufacturer’s instructions in assembling and storage of pump.

Oct 21, 2016 | Posted by in NURSING | Comments Off on Pituitary and Parathyroid Hormones

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