Endo #2 Conditions Flashcards
(34 cards)
Hypercalcemia / Hypocalcemia labs for the different etiologies
With different signs and symptoms
Diabetes Type 1 s/sxs
Vital sings
Labs
Labs- glucose high bicarbonate low glucosuria
Treatment for Type 1 diabetes
Sick day guidelines
What are three acute complications of DM
Hypoglycemia
DKA
HHS
What can you check to see if someone is hydrated
Specific gravity urinalysis (over 1.30)
Creatinine kinase super high
DKA signs and symptoms
N/V
Kussmauls
What are the signs and symptoms of DKA
Kussmauls
Acetone breathe smells
N/V
Good treatment for DKA what must you consider?
Fluids 1st
Insulin
K+ first if over 0.5* check this lauren
What reaction is common in type 1 diabetics
Hypoglycemia at 5 years
Physical exam findings for hypoglycemia
3 common complications for diabetic patients and treatments for the complications
Retinopathy - ophthalmology
Peripheral neuropathy- Gabapentin nortriptyline
Nephropathy -
*see a podiatrist
Follow up time for hypoglycemic episode
3months
Treatment options for class 3 obesity
Diet and exercise -1st
Wt loss medications
Surgery referral after this doesn’t work
Secondary labs for obesity
Cushing — dexamethasone
Thyriod — TSH/T4
CBC / BMP - Diabetes
Lipids
What is the number one cause of obesity
High caloric intake
How can a patient take phentermine and what for?
4 weeks no weight loss take ‘em off.
What is a good weight loss goal for 4 weeks for class 3 diabetics
4-8 lbs
1/2 pounds per week
Inop Non Small Cell Lung Cancer most common lab abnormal
Hypercalcemia
ROS questions for Hypercalcemia
Dietary intake
Stones moans groans overtones
If you get an abnormal calcium or glucose level what do you do
Repeat the lab
Best intervention for Hypercalcemia
Fluids
Hypercalcemia and hypophsophatase leads you to believe what
What different things can cauese elevated calcium levels
High ionized high calcium and high PTH
Primary hypreparathyriodism