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nurse 102 > ENDOCRINE #2 > Flashcards

ENDOCRINE #2 Flashcards

1
Q

Addisons clinical manifestations

A 
muscle weakness
wt loss
fatigue
hypotension
anorexia
dry skin
low Na
High P+
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2
Q

Myxedema coma interventions

A

Give O2
fluids
patent airway
thyroid hormone, levothyroxine IV

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3
Q

Lispro given at 1630, watch for hypoglycemia at…

A

1830

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4
Q

Intervention of A1C

A

prevent hyperglycemia

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5
Q

what test measures BGL for 8-10 weeks

A

HgB A1C

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6
Q

pt is NPO with BGL of 52. what to do?

A

Call HCP

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7
Q

Diabetes insipidus clinical manifestations

A

polyuria

polydipsia

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8
Q

SIADH resolving will show specific gravity?

A

above 1.005

  • SATA anything above 1.005
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9
Q

will buffalo hump w cushings resolve?

A

yes slowly with treatment

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10
Q

Graves disease interventions

A

high cal diet
monitor VS
keep room quiet

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11
Q

insulin drawn up

A

Nph to reg
Reg to nph

Nph cloudy

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12
Q

Why calcium after thyroidectomy

A

treat hypocalcemia with tetany

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13
Q

pt has hoarseness after thyroidectomy

A

temporary d/t swelling

rest voice

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14
Q

NPH given at 0830 when will pt experience hypoglycemia?

A

6-14 hours

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15
Q

Lispro onset?

A

15 minutes

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16
Q

DM foot care

A

use mild soap
warm water
apply lotion, not between toes

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17
Q

GOITER clinical manifestations?

A

hoarseness
dysphagia
enlarged thyroid

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18
Q

acromegaly manifestations

A

sleep apnea
large hand/feet
joint pain

ANDRE THE GIANT

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19
Q

DM has dehydration what check first

A

BGL

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20
Q

How do sulfonylureas act?

A

stimulate insulin production
decrease glucose production in the liver
decrease insulin metabolism in the liver
increase insulin sensitivity to target cells
stimulates pancreas to produce greater amounts of insulin

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21
Q

DM pt has nonhealing foot wound what to do?

A

Wound care consult

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22
Q

Post adrenalectomy what to teach pt

A 
diet
activity
DB/C
incentive spirometer
s/s infection
prevent incision infection
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23
Q

D/C instructions for Cushing’s

A

increase k+
decrease Na
check ankles for swelling
no contact sports

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24
Q

Spironolactone does?

A

decrease BP
increase sodium excretion
increase potassium secretion

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25
Q

lab that shows DM1 might have complication if

A

Ketonuria

(DKA=ketonuria+BGL > 250

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26
Q

will increase insulin for DM1 if

A

ketonuria
pt is ill
taking steroids
BGL not controlled

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27
Q

LIpodystrophy

A

when insilin injected into same site over and over again

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28
Q

New DM diet teaching

A

healthy snacks
diet drinks with no sugar
balanced meals
fruits for sweets

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29
Q

why abd for insulin injections

A

Fastest absorption

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30
Q

Hypoglycemia s/s

A 
irritable
personality changes
tremors
shakiness
tachy
palpitations
diaphoretic
pallor
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31
Q

Remember DM pts

A

need more insulin when ill
need to check BGL not urine
Never just stop insulin
check BGL before giving insulin

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32
Q

in order to function properly the parathyroid needs

A

Vitamin D

33
Q

Levothyroxine teaching

A

take in morning on empty stomach
in morning to prevent sleeplessness
in morning to increase absorption

34
Q

Diabenese (chlorpamide) is effective oral hypoglycemic because?

A

decrease polyuria
taken orally
decrease polyphagia
keeps BGL under 120

35
Q

When is Lantus given

A

at bedtime

QHS Qday

36
Q

why myxedema feels like hangover

A

sensitivity to thyroid hormone given IV

37
Q

PT DM2 does not understand teaching when states?

A

I can take insulin orally
i can eat more because I take pills to decrease BGL
I can eat more because insulin to cover what I eat
I wont take any pills when I’m sick

38
Q

Post DKA pt teaching

A

Check BGL regularly

test for ketonuria

39
Q

Cushings diet

A

high K+
low Na
Drink fluids

40
Q

best canidate for radioactive iodine vs thyroidectomy

A

not good surgical canidate
cancer+heart disease
RA and Chron’s

41
Q

DM1 ask when exercise if taking NPH in morning

A

May exercise in morning
May exercise in early afternoon

NOT in late afternoon as NPH peaks 6-14 hrs after taking

42
Q

medications for hyperthyroidism

A

Propylthiouracil

43
Q

hyperparathyroidism does

A

increase calcium

can cause polyuria

44
Q

post parathyroidectomy taught to take calcium

A

after meals

45
Q

when pt taking corticosteroids pt should

A

watch s/s infection

check BGL

46
Q

Hypocalcemia s/s

A 
tremors
shakiness
pallor
diaphoretic
personality changes
irritability
tachy
palpatations
47
Q

tremors in sign of what in DM

A

Hypoglycemia

48
Q

for IDDM taking steroids needs

A

more insulin

49
Q

hat factors lead to hypoglycemia in DM1

A

Illness
exercise- less insulin
NPO - less insulin
pt needs to understand insulin they take and peaks to avoid heavy exercise

50
Q

Addisons treatment

A

Mineral corticosteroids
glucocorticosteroids

hydro cortisone has both properties

51
Q

pt on syntroid still have symptoms of hypothyroidism

A

does needs to be increased

52
Q

giving NPH at 10 watch for hypoglycemia at

A

4 pm

53
Q

foods high in potassium

A

ham
apples
bananas
potatoes

54
Q

DKA s/s

A 
kussmal breathing
fruity breath
thirst
drowsiness
confusion
polyuria
55
Q

DI is caused by

A

Decreased ADH

56
Q

Glyburide for DM2 because

A

increases insulin in pancreas
increases insulin sensitivity of target cells
helps prevent insulin resistance

57
Q

hyperparathyroidism means that serum calcium is

A

increased

58
Q

hypoparathyroidism means that serum calcium is

A

decreased

59
Q

cushings s/s include

A 
facial hair
thin skin
moon face
large trunk
extremety swelling
tachy
high BP
60
Q

DI treatment is effective when

A

urine output decreases

fluid intake remains 2500mL/day

61
Q

Vassopresson for DI because

A

it decreases urine output

62
Q

hypothyroidism diet

A

low cal to slow wt gain

63
Q

adverse reaction to synthroid

A

Tachycardia

64
Q

Thyroid glad produces

A

T3
T4
Calcitonin

65
Q

HHNS need fluid intake of

A

IV fluids

intake of 2-3 L in 2-3 HRs

66
Q

Hypovalemia in Addisons disease cases decreased BP by

A

low sodium

low K+

67
Q

Treatment for SIADH is effective when

A

wt decreases
lungs clear
increases urine output
decreased serum osmolality

68
Q

what does pheochromocytoma do?

A

increases the release of catecholamines (epinephrine and norepinephrine.)

69
Q

what controls the release of hormones in body?

A

NEGATIVE FEEDBACK

70
Q

nurse priority for pre-op adrenalectomy

A

monitor VS

71
Q

Pheochromocytoma diet is?

A

high cal
high vitamins and minerals
graham crackers and milk

72
Q

thyroid storm and vasodilation occurs what happens

A

BP drop

73
Q

teach about salt restricted diet

A

Salt substitutes are high in K+

74
Q

What might thyroid crisis lead to

A

CHF

75
Q

Nursing DX for acromegaly

A

risk for falls
trauma
injury

76
Q

laryngeal spasms are possible with hypoparathyroidism

A
77
Q

what contributes to cushings depression

A

moon face
facial hair
wt gain

78
Q

Chvostek and Trousseau sign of

A

Hypocalicemia

nurse 102 (13 decks)

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