UNIVERSITY OF CEBU - BANILAD

Gov. M. Cuenco Ave, Cebu City, 6000 Philippines

College of Nursing
Telephone No: (032) 231- 8631

NCM 106 - PHARMACOLOGY

Learning Activity No.8
Module 8: Endocrine Drugs
Ref. No : BSN-SY-02 - Pharma
Rev. : 00
No
Control : Nursing Faculty

Program : Bachelor of Science in Nursing

Name of Shannen Reza Macarayon Yr.& Sec. : 2nd Year Section _
Student
Date : 12/13/2020 Time : 6:00pm
Venue : Virtual Facilitator : Lemuel C. Candelasa ,MAN,RN
Topic : Endocrine Drugs Grade :

1. Create a Drug Study on Endocrine Drugs that are commonly used in clinical
settings. Utilize the drug study template.

a. Medical Ward (Internal & Non-comunicable) Service Ward ( 3 Medications )

b. Surgical Ward – Male/Female ( 3 Medications )

c. Pediatric Non-Critical)  Ward ( 2 Medication)

Pharmacology Learning Activity No.8 1 st Semester S.Y. 2020- 2021 UCBC Page 1
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

Pharmacology Learning Activity No.8 1 st Semester S.Y. 2020- 2021 UCBC Page 2
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

Pharmacology Learning Activity No.8 1 st Semester S.Y. 2020- 2021 UCBC Page 3
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

Pharmacology Learning Activity No.8 1 st Semester S.Y. 2020- 2021 UCBC Page 4
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

Pharmacology Learning Activity No.8 1 st Semester S.Y. 2020- 2021 UCBC Page 5
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

2. Briefly organize and bring together main ideas. Explain in your own words. (50 –
150 words for each question)

a. What is the difference between Diabetes Mellitus and Diabetes Insipidus? Give
the common signs and symptoms.
The difference between Diabetes Mellitus and Diabetes Insipidus is Diabetes mellitus
causes high blood glucose, or blood sugar, resulting from the body's inability to use
blood glucose for energy. People with diabetes insipidus have normal blood glucose
levels; however, their kidneys cannot balance fluid in the body. Common signs and
symptoms of Diabetes Mellitus are increased thirst, Frequent urination, Extreme hunger,
Unexplained weight loss, Presence of ketones in the urine (ketones are a byproduct of
the breakdown of muscle and fat that happens when there's not enough available
insulin), Fatigue, Irritability, Blurred vision. While Diabetes Insipidus are extreme thirst
that can't be quenched (polydipsia), Excessive amounts of urine (polyuria), Colorless
urine instead of pale yellow, waking frequently through the night to urinate, Dry skin,
Constipation, Weak muscles, Bedwetting.
b. After treatment with thyroidectomy for a thyroid tumor that turned out to be
benign, Alicia is given levothyroxine medication (Levothroid). "I felt I was going to
be healed after this surgery! "She has stated. "Why am I supposed to take a pill
every day? "What is the nurse going to have to explain to Alicia?
Thyroidectomy is used to treat thyroid disorders, such as cancer, noncancerous enlargement of
the thyroid (goiter) and overactive thyroid (hyperthyroidism).
Your thyroid gland is removed during thyroidectomy depends on the reason for surgery. If you
need only part of your thyroid removed (partial thyroidectomy), your thyroid may work normally
after surgery. If your entire thyroid is removed (total thyroidectomy), you need daily treatment
with thyroid hormone to replace your thyroid's natural function. Levothyroxine is used to treat an
underactive thyroid gland (hypothyroidism). It replaces or provides more thyroid hormone, which
is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or
when the thyroid gland is injured by radiation/medications or removed by surgery.

c. John sometimes develops hypoglycemia as a result of her diabetes drug therapy.

 The nurse is going to show John what signs and symptoms of hypoglycemia
are?
Early warning signs and symptoms the initial signs and symptoms of diabetic hypoglycemia
include: Shakiness, Dizziness, Sweating, Hunger, Fast heartbeat, Inability to concentrate,
Confusion, Irritability or moodiness, Anxiety or nervousness, Headache, Nighttime signs and
symptoms. If diabetic hypoglycemia occurs when you're sleeping, signs and symptoms that may
awaken you include: Damp sheets or nightclothes due to perspiration, Nightmares, Tiredness,,
irritability or confusion upon waking.
Severe signs and symptoms
If diabetic hypoglycemia isn't treated, signs and symptoms of severe hypoglycemia can occur.
These include: Clumsiness or jerky movements, Inability to eat or drink
Muscle weakness, Difficulty speaking or slurred speech, Blurry or double vision, Drowsiness,
Confusion, Convulsions or seizures, Unconsciousness, Death, rarely

Pharmacology Learning Activity No.8 1 st Semester S.Y. 2020- 2021 UCBC Page 6
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

Symptoms can differ from person to person or from episode to episode.

Some people don't have any noticeable symptoms. It's also possible you won't have any
symptoms of hypoglycemia, so it's important to monitor your blood sugar levels regularly and
keep track of how you're feeling when your blood sugar is low.

 The nurse is aware that one of the early symptoms of hypoglycemia is

irritability. Why is that true?
When blood sugar returns to a normal range, these symptoms often resolve. Fluctuations in
blood glucose can result in rapid mood changes, including low mood and irritability. This is
especially true during hypoglycemic episodes, during which blood sugar levels drop below 70
milligrams per deciliter (mg/dL)
 If John has hypoglycemia at home, what are the treatments available?
Eat or drink 15 to 20 grams of fast-acting carbohydrates. These are sugary foods without
protein or fat that are easily converted to sugar in the body. Try glucose tablets or gel, fruit juice,
regular — not diet — soft drinks, honey, and sugary candy.
Recheck blood sugar levels 15 minutes after treatment. If blood sugar levels are still under
70 mg/dL (3.9 mmol/L), eat or drink another 15 to 20 grams of fast-acting carbohydrate, and
recheck the blood sugar level again in 15 minutes. Repeat these steps until the blood sugar is
above 70 mg/dL (3.9 mmol/L).
Have a snack or meal. Once your blood sugar is normal, eating a snack or meal can help
stabilize it and replenish your body's glycogen stores.

d. For each symptom listed below, specify whether it is associated with

hyperglycemia or hypoglycemia.
 Irritability (Hypoglycemia)
 Fatigue (Hypoglycemia and Hyperglycemia)
 Polydipsia (Hyperglycemia)
 Tremors (Hypoglycemia)
 Sweating (Hypoglycemia)

3. Case Study:

The doctor plans to prescribe glipizide (Glucotrol) for Mr. Juan Dela Cruz, a 50-year-old
engineer with a diagnosis of renal failure and type 2 diabetes. In particular, Mr. Juan
Dela Cruz. requires treatment for the short-term elevation in blood glucose level that
occurs after he eats.

Question (50 – 150 words for each question)

a. Are there specific guidelines for when this drug needs to be taken?
Yes, there is specific guidelines for this drug and that is, Glipizide works best if given 30
minutes before meals. This allows the timing of the insulin secretion induced by the

Pharmacology Learning Activity No.8 1 st Semester S.Y. 2020- 2021 UCBC Page 7
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

Glipizide to correspond with the elevation in blood glucose level induced by the meal in
much the same way as endogenous insulin levels are raised in a person without
diabetes. Its effect is much like the body's normal response to meals, and will help to
keep the blood glucose levels from becoming too high.

b. At a visit 3 months later, during a blood draw for fasting lab work, Mr. Juan Dela
Cruz. tells the nurse, “I’ve been good for the past few days, so I’m sure my fasting
levels are okay. But thankfully the doctor won’t know how I’ve been sneaking
snacks.” What laboratory test will be ordered to monitor Mr. Juan Dela Cruz
diabetes, and what will this test indicate?
This test will indicate to provide a picture of the patient's adherence to the therapy
regimen for the previous several months, a hemoglobin AIC is measured. This value
reflects how well the patient has been doing with diet and drug therapy.

c. Develop a nursing care plan (minimum 1 NCP) for Alicia. You may use NANDA Book
as your reference.
- Problem 1: Analyze the Question 3-B and make an NCP.
- Format: ADPIE( minimum 300 words)

Comments:

Prepared by:

Shannen Reza Macarayon

Students Signature over
Printed Name

Submitted to:

Lemuel C. Candelasa,MAN,RN
Professor – Pharmacology

Pharmacology Learning Activity No.8 1 st Semester S.Y. 2020- 2021 UCBC Page 8