Lecture seven- ENDOCRINE Flashcards

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1
Q

hyperthyroidism is

A

hypermetabolism everything up

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2
Q

the thyroid regulates

A

metabolism

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3
Q

hyperthyroidism ss

A

exophthalmos, heat intol/cold tol, skinny, hyper, tachy

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4
Q

hyperthyroidism is also known as

A

graves disease

“hyperthyroidism is going to run you into the grave

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5
Q

hyperthyroidism tx

A
  1. radioactive iodine; pt should be alone 24hrs and caution w urine
  2. PTU; puts thyroid under; causes immunosuppression watch wbcs
  3. thyroidectomy; total vs subtotal
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6
Q

total thyroidectomy

A

lifelong hormone replacement increased rx for hypocalcemia

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7
Q

subtotal thyroidectomy

A

some hormone rep & often no ca+ probs

increased rx of thyroid storm CAN CAUSE BRAIN DAM

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8
Q

ss of thyroid storm

A
  1. super high temp >105
  2. Increase BP; stroke
  3. severe tachycardia
  4. dellirium
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9
Q

thyroid storm tx

A

get temp down, o2, ice pack, cooling blankey

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10
Q

thyroidectomy rx

A
  1. airway
  2. hemorrhage
    12-48hrs rx of tetany total
    12-48hrs rx storm subtotal
    48hrs infec
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11
Q

hypothyroidism is

A

hypometabolism; myxedema

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12
Q

hypothyroidism ss

A

chunky, lethargic, constipated, cold intol

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13
Q

hypothyroidism tx

A

admin thyroid hormones

careful not to sedate

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14
Q

never hold

A

thyroid pills

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15
Q

adrenal cortex diseases

A

addisons

cushings

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16
Q

addisons is

A

under secretion of cortisol; bronze; dont adapt to stress

17
Q

cushings is

A

over secretion of cortisol

18
Q

cushings tx

A

adrealectomy

19
Q

cushings s/s

A
hirsutism
hyperglycemia
moon face
buffalo hump
increased infections
striae
trunk obesity 
gynecomastia
easily bruising
retaining Na+ and H2O
20
Q

childrens toys ask

A

is it safe?
is it age appropriate?
is it feasible?

21
Q

no sm toys for children under

A

4

22
Q

no metal toys if pt is on

A

O2

23
Q

if a child is under 9 months never pick answer with

A

build,stack,construct,sort, make

24
Q

laminectomy is

A

removal of vertebral spines to relieve nerve root compression
pain, paresthesia, paresis

25
Q

long term tips for laminectomy

A

pt should bend at knees, no lifting over head (cervical), no jerky activities

26
Q

laminectomy locations

A
  1. cervical
  2. thoracic
  3. lumbar
27
Q

cervical laminectomy preop

A

breathing, arm/hand function

28
Q

thoracic laminectomy preop

A

cough and bowels

29
Q

lumbar laminectomy preop

A

bladder, legs

30
Q

laminectomy postop

A

“log roll” no dangeling, no sitting longer than 30 min, walk, stand, lye down w/out restriction

31
Q

laminectomy cx

A
  1. pneumonia- cervical,thoracic

1. urinary retention- lumbar