The endocrine system
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Prototye Med
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somatropin (Genotropin)
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Nutropin
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Humatrope
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Serostim
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Growth hormone deficiencies, such as Turner’s syndrome
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Growth hormone deficiency in adults to increase lean muscle mass
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AIDS wasting syndrome
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Hyperglycemia
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Fatality in PWS Clients
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Neutralizing antibodies
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Severe obesity
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Severe respiratory impairment
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Closed epiphyses in children
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Critical illness
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Glucocorticoids and adrenocorticotropic hormone counteract growth-stimulating effects.
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Thyroid hormones, estrogens, and androgens promote epiphyseal clo- sure.
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Monitor blood glucose levels.
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Give IM or subcutaneously (preferable).
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Dosage is based on weight
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Given daily or several times a wee
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Very costly
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Pediatric Clients: Obtain baseline height, weight, thyroid function, and growth hormone levels and monitor monthly; yearly X-rays of long bones
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When reconstituting the drug, rotate the vial gently and do not shake it
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Inject subcutaneously into the abdomen and thighs and rotate sites.
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Discontinue treatment prior to epiphyseal closure in children.
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Injection site should be rotated.
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Diabetes mellitus
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Prader-Willi syndrome
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Hypothyroidism
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Chronic renal failure
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