Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

From Flashcardlet > ENDOCRINE: TEST 1 NOTES > Flashcards

ENDOCRINE: TEST 1 NOTES Flashcards

1
Q

Hormone that has anti-inflammatory effect

A

Cortisol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cushing’s Syndrome from chronic steroid use: What is important to remember when trying to discontinue the steroids?

A

Steroids should be tapered off slowly, NEVER STOPPED ABRUPTLY.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Pheochromocytoma: Appropriate nursing action

a. weight
b. palpate skin for warmth
c. test urine for glucose
d. monitor BP

A

d. monitor BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  • Rare tumor of the Adrenal Medulla (also chest, bladder, abd, brain)
  • Excessive catecholamines (up to 14mcg/100mL)
  • Causes HTN
  • Causes death if untreated
A

Pheochromocytoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Main Catecholamines (3)

A
  1. Dopamine
  2. Epinephrine
  3. Norepinephrine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

“Classic Triad” of Symptoms

A
  1. Diaphoresis (profuse sweating)
  2. Severe headache
  3. Palpitations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Primary treatment for Pheochromocytoma

A

Adrenalectomy (surgical removal)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Diagnostic Labs for Pheochomocytoma: 24h urine collection will reveal elevated levels of (3)

A
  1. VMA (vanillylmandelic acid)
  2. Metanephrine
  3. Catecholamines
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Normal range of Catecholamines (per 100mL) - urine sample

A

14mcg/100mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Pheochromocytoma: Diagnosic Procedures to locate tumor

A
  1. CT Scan

3. MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pheochromocytoma: Excessive amounts of (1)__ and __ are secreted from the (2)__.

A
  1. epinephrine and norepinephrine (catecholamines)

2. Adrenal Medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Main complications of Pheochromocytoma (4)

A
  1. Hypertensive Crisis
  2. Dysrhythmias
  3. Myocardial Infarction
  4. Stoke
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hormone that prolongs and intensifies the Sympathetic Nervous System to stress

A

Epinephrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Characterized by:

  • Excessive Cortisol secretion
  • Caused by increased ACTH from the Pituitary
A

Cushing’s Disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Characterized by:

  • Chronic/excessive Cortisol production
  • Caused by administration of Glucocorticoids in large doses for several weeks or longer
A

Cushing’s Syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Main interventions for Hyperthyroidism/Grave’s Disease (6)

A
  1. Adequate REST (HTN)
  2. Cool, quiet environment (heat intolerance)
  3. Diet - high calorie (inc. metab.)
  4. Admin - Antithyroid Meds
  5. Admin - Sedatives
  6. Daily WEIGHT (weight loss)
  7. Do not admin STIMULANTS (HTN)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
  • Occurs with Type 1
  • Rapid decrease in glucose at night, that generates release of counterregulatory hormones = HYPERglycemia evident in the morning
  • Tx: Decrease interm-insulin dose in evening, or bedime snack
A

Somogi Phenomenon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Cushing Syndrome S/S

A
  1. Muscle wasting, weakness
  2. Buffalo hump, moon face
  3. Large Abd, thin extremities
  4. Fragile skin
  5. Hirsutism
  6. High sugar and sodium
  7. Low Potassium and Calcium
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Diagnostic assessment for Hypoparathyroidism: Carpal spasm by compressing brachial artery (Hypocalcemia)

A

Trousseau’s Sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Diagnostic assessment for Hypoparathyroidism: Facial muscle spasms by tapping facial nerve (anterior to ear)

A

Chvostek’s Sign

21
Q

Two potential complications specific to Parathyroidectomy

A
  1. Airway Obstruction
  2. HYPOcalcemia
    (Potential removal of part of Thyroid > which produces Calcitonin)
22
Q 
Pt taking levothyroxine (Synthroid)
Complaints:
Cold intolerance
Weight gain
Dry Skin
Puffy Eyes
Physician Orders...
A

Increase dosage (Pt is still experiencing low thyroid hormone levels) after checking the T4 level

23
Q

Congenital Hypothyroidism: Severe lack of TH during fetal life and infancy

A

Cretinism

24
Q

Hyperthyroidism: Medication to help with tremors and tachycardia

A

propranolol

25
Q

Addisonian Crisis can be precipitated by (5)

A
  1. Stress
  2. Infection
  3. Trauma
  4. Surgery
  5. Rapid withdrawal of corticosteriod use
26
Q 
Transsphenoidal Hypophysectomy POST-OP:
Monitor for any postnasal drip. 
(1) May indicate \_\_\_
(2) Check drainage for \_\_
(3) If positive, it is likely \_\_
A
  1. Leakage of CSF
  2. Glucose
  3. CSF
27
Q

Pheochormocytoma Adrenalectomy PRE-OP:

Priority Nursing Action is to monitor ___

A

Vital Signs (+Epinephrine = increased HTN)

28
Q

Thyroidectomy POST-OP:

(1) Maintain Pt in __ position
(2) Monitor site for __ and __
(3) Check dressing __ and ___.

A
  1. Fowler’s (90)
  2. Edema and bleeding
  3. anteriorly and back of neck
29
Q

Very low Thyroid production

A

myxedema

30
Q

Adults with myxedema have (1)__ appetite, with weight (2)__.

A
  1. decreased
  2. gain
    (because of decreased metabolism)
31
Q

Pheochromocytoma: Diet

A

High calorie, vitamins, minerals

32
Q

Pheochromocytoma: Avoid (3)

A
  1. Smoking
  2. Caffeine
  3. Sudden position changed
33
Q

Tiredness, Constipation, Cold intolerance, and Weight gain are symptoms of:

a. hyperthyroidism
b. hypothyroidism

A

b. hypothyroidism

34
Q

Excessive Corticosteriod production will cause the inflammatory response to increase/decrease

A

decrease/suppress

Cortisol = ANTI-inflammatory

35
Q

Inflammation = Response to fight off infection

A

Avoid people with infections

36
Q

Adrenal Crisis (extreme hypofunction) is an Emergency, and death may result from __ and __.

A

hypotension and vasomotor collapse

37
Q

Too much Insulin production results in which condition:

a. DI
b. DM
c. hypoglycemia
d. hyperglycemia

A

c. hypoglycemia

38
Q

Exophthalmos may be present in

a. hyperparathyroidism
b. hyperthyroidism

A

b. hyperthyroidism

39
Q

Thyroid Storm:

3 Classic Signs

A
  1. Fever
  2. Tachycardia
  3. Hypertension
40
Q

Aspirin increases/decreases serum levels of T3 and T4

A

increases

41
Q

Thyroid Storm (hyperthyroid): What should NOT be given to reduce Pt fever, and what should be given instead?

A

Aspirin (increases T3 and T4)

Acetaminophen should be given.

42
Q

Which hormone increases heart rate and force contraction?

A

Epinephrine

43
Q

Hyperpituitarism: Excess secretion of GH in adults results in a condition called

a. Acromegaly
b. Addison’s Disease
c. Hashimoto’s Disease
d. Cushing’s Disease

A

a. Acromegaly

44
Q

Contraceptives interfere with the activity of bromocriptine mesylate (Parlodel)

A

Parodel

45
Q

Parlodel therapy is indicated in the treatment of __.

A

Acromegaly

46
Q

__ therapy, alone or as adjunctive therapy with pituitary irradiation or surgery, reduces serum growth hormone by 50% or more in approximately ½ of patients treated, although not usually to normal levels.

A

Parodel

47
Q

Propylthiouracil (PTU) causes (1)__. Therefore, the client is advised to contact the HCP if a (2)___.

A
  1. agranulocytosis

2. fever or sore throat develops

48
Q

Propylthiouracil (PTU) is a __

A

Antithyroid Medication

49
Q

What hormone is secreted, in response to a high serum calcium level?

A

Calcitonin

From Flashcardlet (144 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions