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Flashcards in Endocrine Deck (20):
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Siadh

Too much adh
Increase water
Decreased Na. Dilutional hyponatremia
Hypoosmolar
Decrease uop

1

Causes siadh

Oat cell carcinoma
Viral pna
Head problems

2

Treatment for siadh

Hypertonic solution 3% 25/hr
Fluid restriction
Cure the cause

3

In siadh watch for

Seizure activity

4

Di

No adh
Increased Na and osmolarity and uop(6-24L a day) and urine osmolarity(1.001-1.005)

5

Cause di

Head problems
Dilantin

6

Complications of do

Shock

7

Treament of di

Give adh(pitressin)
Fluids increase volume
Monitor urine specific gravity and EKG for st depression

8

Cvs of hypoglycemia

Tachycardia
Palpitations
Diaphoresis
Irritable
Restlessness

9

Cns of hypoglycemia

Confusion
Lethargy
Slurred speech
Seizure
Coma

10

Beta blockers effect hypoglycemia

No cardiac symptoms

11

Who gets hhnk?

Old people
Diet controlled diabetic
Tpn
Pancreatitis

12

Dka

Bs:400-900
Dehydrated
4-6L
No insulin
Acidosis and kussmal breathing

13

Hhnk

Bs:1000-2000
Severe dehydration
6-8L behind
Have insulin
No acidosis
Lil tiny baby breaths

14

Treatment dka

Insulin Gtt
Fluids

15

Treatment of hhnk

Fluids
Insulin

16

Fluids for dka and hhnk

Ns
.45 saline
D5 .45 saline

17

What e- is important in dka?

Potassium cannot be low. It should be high in acidosis because k drops when ph is increased

18

Normal range of serum osmolarity

275-295 mOs/L

19

Norm range urine specific gravity

1.005-1.030