kuliah endocrine drugs

51

Upload: dewa-made-kusuma-diningrat

Post on 02-Feb-2016

228 views

Category:

Documents


0 download

DESCRIPTION

endokrin drugs

TRANSCRIPT

Page 1: Kuliah Endocrine Drugs
Page 2: Kuliah Endocrine Drugs

Major Endocrine Organs

Page 3: Kuliah Endocrine Drugs
Page 4: Kuliah Endocrine Drugs

HORMONAL DISEASE

PANCREAS

OVARIUM & TESTIS

ADRENAL

THYROID

REPRODUCTION

METABOLISM

GROWTH & DEVELOPMENT

ENERGY & NUTRITION

HYPER / HYPO SECRETIONDISEASE

Page 5: Kuliah Endocrine Drugs

HORMONAL DISEASE (MOST)

GROWTH DISORDERSSTRUMA ( HYPO & HIPERTHYROIDI)

DIABETES MELLITUSLIPID DISORDERS

INFERTILITYMENSTRUATION & MENOPAUSE

CARCINOMAOSTEOPOROSIS

HIPERTENSI

THYROID

PANCREAS

OVARIUM & TESTIS

ADRENAL

Page 6: Kuliah Endocrine Drugs
Page 7: Kuliah Endocrine Drugs
Page 8: Kuliah Endocrine Drugs

Waah capek sekali

Bapak kurang minum

hormon seks

Gara-gara hormon seks

Page 9: Kuliah Endocrine Drugs

POROS HIPOTALAMUS-HIPOPISIS-OVARIUM/TESTIS

Page 10: Kuliah Endocrine Drugs
Page 11: Kuliah Endocrine Drugs

Ovarian hormones

OVARIUM

ESTROGEN ( blood stream)

UTERUS; VAGINA; MAMMA

HYPOTALAMUS

PROGESTERON

F S H L H

HYPHOPHYSIS (gland) GnRH

Page 12: Kuliah Endocrine Drugs

Paired ovaries in the abdominopelvic cavity produce estrogens and progesterone

They are responsible for: Maturation of the reproductive organsAppearance of secondary sexual

characteristicsBreast development and cyclic changes in the

uterine mucosa

Gonads: Female

Page 13: Kuliah Endocrine Drugs

ESTROGEN & PROGESTERONE

SIDE EFFECT / TOXICITYPHYSIOLOGIC / BALANCE

HYPER HORMONAL

NON HORMONAL ?MENSTRUAL DISTURBANCE

CLINICAL USE

Hypo secretion; menopause (HRT) Hormonal contraceptive

Page 14: Kuliah Endocrine Drugs

ANTI ESTROGEN

Preparat : ClomiphenTamoxiphene

Clinical use: infertility ---- induce ovulation

( an ovulatoir)

Mech of action : blocking estrogen receptor

FSH & LH increase

Page 15: Kuliah Endocrine Drugs

Mechanism of action ANTI ESTROGEN

OVARIUM

ESTROGEN ( blood stream) Clomiphene

UTERUS; VAGINA; MAMMA

HYPHOPHYSIS (gland)

PROGESTERON

F S H

L H

Page 16: Kuliah Endocrine Drugs
Page 17: Kuliah Endocrine Drugs

TESTIS

TESTOSTERONE ( blood stream)

Penis, Larynx, skeleton, Muscle massPubic and axillary hair

HYPOTALAMUS

F S H L H

HYPHOPHYSIS (gland)

GnRH

Page 18: Kuliah Endocrine Drugs

Testes located in an extra-abdominal sac (scrotum) produce testosterone

Testosterone:Initiates maturation of male reproductive organsCauses appearance of secondary sexual

characteristics and sex driveIs necessary for sperm productionMaintains sex organs in their functional state

Gonads: Male

Page 19: Kuliah Endocrine Drugs

TESTOSTERONE

SIDE EFFECT / TOXICITY

NON HORMONAL ?

CLINICAL USE

HYPOGONADISM, STIMULATE RBC,INCREASE MUSCLE BULK

Hormonal contraceptive

Page 20: Kuliah Endocrine Drugs
Page 21: Kuliah Endocrine Drugs
Page 22: Kuliah Endocrine Drugs
Page 23: Kuliah Endocrine Drugs
Page 24: Kuliah Endocrine Drugs
Page 25: Kuliah Endocrine Drugs
Page 26: Kuliah Endocrine Drugs
Page 27: Kuliah Endocrine Drugs
Page 28: Kuliah Endocrine Drugs
Page 29: Kuliah Endocrine Drugs
Page 30: Kuliah Endocrine Drugs
Page 31: Kuliah Endocrine Drugs
Page 32: Kuliah Endocrine Drugs
Page 33: Kuliah Endocrine Drugs
Page 34: Kuliah Endocrine Drugs
Page 35: Kuliah Endocrine Drugs
Page 36: Kuliah Endocrine Drugs

MECHANISM OF GLUCOCORTICOID

Page 37: Kuliah Endocrine Drugs
Page 38: Kuliah Endocrine Drugs

Dexamethasone

Prenisone,Triamcinolone

Cortisol

Aldosteron

Fludocortisone

Spironolactone

Mifepristone

Aminoglotethimide

Metyrapone

Ketoconazole

Page 39: Kuliah Endocrine Drugs

INFLAMATION

SIDE EFFECT / TOXICITY

HYPERGLYCEMIA CUSHING SYNDROOM

HYPERTENSION

PREDNISON (STEROID)

Page 40: Kuliah Endocrine Drugs
Page 41: Kuliah Endocrine Drugs

The hyperglycemic effects of glucagon and the hypoglycemic effects of insulin

Regulation of Blood Glucose Levels

Page 42: Kuliah Endocrine Drugs
Page 43: Kuliah Endocrine Drugs
Page 44: Kuliah Endocrine Drugs
Page 45: Kuliah Endocrine Drugs
Page 46: Kuliah Endocrine Drugs
Page 47: Kuliah Endocrine Drugs
Page 48: Kuliah Endocrine Drugs
Page 49: Kuliah Endocrine Drugs
Page 50: Kuliah Endocrine Drugs
Page 51: Kuliah Endocrine Drugs