Chapter 20. Endocrine/Hematologic Emergencies Flashcards

(36 cards)

1
Q

A pathologic condition that results from the accumulation of acids in the body.

A

Acidosis

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2
Q

A metabolic disorder in which the ability to metabolize carbohydrates (sugars) is impaired, usually due to a lack of insulin.

A

Diabetes Mellitus

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3
Q

A form of hypoglycemia in uncontrolled diabetes in which certain acids accumulate when insulin is not available.

A

Diabetic Ketoacidosis (DKA)

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4
Q

Glands that secrete or release chemicals that are used inside the body.

A

Endocrine Glands

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5
Q

The complex message and control system that integrates many body functions, including the release of hormones.

A

Endocrine System

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6
Q

One of the basic sugars; it is primary fuel, in conjunction with oxygen, for cellular metabolism.

A

Glucose

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7
Q

The study and prevention of blood-related disorders.

A

Hematology

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8
Q

A hereditary condition in which the patient lacks one or more of the blood’s normal clotting factors.

A

Hemophilia

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9
Q

Substances formed in specialized organs or glands and carried to another organ or group of cells in the same organism; they regulate many body functions, including metabolism, growth, and body temperature.

A

Hormone

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10
Q

An abnormally high blood glucose level.

A

Hyperglycemia

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11
Q

A life-threatening condition resulting from high blood glucose that typically occurs in older adults, and which causes altered mental status, dehydration, and organ damage.

A

Hyperosmolar Hyperglycemia Nonketotic Syndrome (HHNS)

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12
Q

An abnormally low blood glucose level.

A

Hypoglycemia

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13
Q

A hormone produced by the islets of Langerhans that enables glucose in the blood to enter cells; used in synthetic form to treat and control diabetes mellitus.

A

Insulin

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14
Q

Deep, rapid breathing; usually the result of an accumulation of certain acids when insulin in not available in the body.

A

Kussmaul Respirations

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15
Q

Ecessive thirst that persists for long periods despite reasonable fluid intake; often result of excessive urination.

A

Polydipsia

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16
Q

Excessive eating; in diabetes, the inability to use glucose properly can cause a sense of hunger.

17
Q

The passage of an unusually large volume of urine in a given period; in diabetes, this can result from the wasting of glucose in the urine.

18
Q

A heredity disease that causes normal, round red blood cells to become oblong, or sickle shaped.

A

Sickle Cell Disease

19
Q

A state of unconsciousness resulting from several problems, including ketoacidosis, dehydration because of excessive urination, and hyperglycemia.

A

Symptomatic Hyperglycemia

20
Q

Severe hypoglycemia resulting in changes in mental status.

A

Symptomatic Hypoglycemia

21
Q

A tendency toward the development of blood clots as a result of an abnormality of the system of coagulation.

A

Thrombophilia

22
Q

A blood clot, either in the arterial or venous system.

23
Q

An autoimmune disorder in which the individual’s immune system produces antibodies to the pancreatic beta cells, and therefore the pancreas cannot produce insulin; onset in early childhood is common.

A

Type 1 Diabetes

24
Q

A condition in which insulin resistance develops in response to increased blood glucose levels; can be managed by exercise and diet modification, but is often managed by medications.

A

Type 2 Diabetes

25
Ischemia and pain caused by sickle-shaped red blood cells that obstruct blood flow to a portion of the body.
Vasoocclusive Crisis
26
HHNS
**H**yperosmolar **H**yperglycemia **N**onketotic **S**yndrome (HHNS)
27
DKA
**D**iabetic **K**eto**a**cidosis (DKA)
28
What is the range for normal blood glucose levels?
29
Outline the primary causes for hypoglycemia.
∆ environment ∆ activity level ↑ Insulin Certain Drugs
30
Outline the primary causes for hyperglycemia.
Low-No Insulin Illness/Infection Stress
31
What signs and symptoms do hypoglycemia and hyperglycemia have in common?
Fatigue Altered Mental Status ↓ Skin Signs
32
What signs and symptoms do DKA and HHNS have in common?
Weight Loss Frequent Urination (Polyuria) Excessive Thirst (Polydipsia) Excessive Hunger (Polyphagia) S/Sx Dehydration
33
What signs and symptoms does DKA have that is different than HHNS?
S/Sx Ketogenesis Nausea Vomiting Generalized Ab Pain Fruity Breath Kussmaul Respirations
34
Why do DKA and HHNS have different signs and symptoms?
DKA there is no insulin present resulting in ketogenisis. HHNS occurs when unusable insulin is present. The presence of insulin inhibits ketogenesis.
35
Outline the treatment principles for diabetic emerencies.
36
List the complications associated with sickle cell disease.