ENDOCRINE

Question 1

Addisons disease

clinical manifestations

Answer 1

fatigue
n/v/diarrhea
anorexia
hypotension
confusion
low BGL
Low Na
high K+
hyperpigmentation
vitiligo

Question 2

myxedema coma

Interventions

Answer 2

Monitor vital signs
IV solutions
Iv thyroid synthroid.

Question 3

Lispro

Answer 3

Fast acting
O: 5-30 minutes
P: 30-90 minutes
D: 3-5 hours

Question 4

HBA1C

teaching

Answer 4

Normal range under 6%
measures average glucose levels in hgb for past 3 months
pt doesn’t need to fast prior
it evaluates effectiveness of long-term DM treatment.
.

Question 5

Hypoglycemia

clinical manifestations

Answer 5

cool clammy skin
diaphoresis
palpitations
fatigue/weakness
confusion
headache

Question 6

SIADH

Answer 6

low Na
low BUN
low creatinine

Question 7

glycemic control

Answer 7

accucheck- 70-110
Fasting blood sugar- <100
2 hr oral glucose tolerance- <140
Hba1c- <6%

Question 8

Diabetes insipidus

Clinical manifestations

Answer 8

excessive urine
polydipsia
dehydration
decreased skin tugor
muscle pain/weakness
postural hypotension
Tachycardia
low specific gravity

Question 9

Sulfonylureas

side effects

Answer 9

n/v
anorexia
abd cramps
hypoglycemia
hepatoxicity
rash

Question 10

Cushings Syndrome

Nursing interventions

Answer 10

daily wt
I&O
monitor BGL
encourage adequate rest
high cal high calcium diet

Question 11

Lispro

Answer 11

Rapid acting
O= 5-30mins
P= 30-90 mins
D= 3-5 hours

Question 12

Thyroidectomy

Medical treatment

Answer 12

can cause laryngeal spasms
Have trach kit ready
RDS
Laryngeal damage
hemorrhage
hypothyroid
oral K+ iodine
diet high in iodine

Question 13

THyroidectomy

Nursing interventions

Answer 13

NOw hypothyroidism, treat that
s/s hypocalicemia
s/s thyroid crisis

Question 14

Goiter assessment

Answer 14

Dysphagia?
dyspnea
tight feeling in the throat
cough

Question 15

Acromegaly

treatment

Answer 15

Dopamine antagonist to decrease tumor
removal of tumor
proton beam radiation to destroy tumor
gamma knife radiosurgery

Question 16

DM Dehydration

Nurse priority

Answer 16

fluid replacement
maintain stable BGL
correct electrolyte imbalance
IV vit K+
monitor neuro changes
EKG changes
hourly accucheck.