Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Nur 4410 Peds Exam #2 > Metabolic or Endocrine Condition > Flashcards

Metabolic or Endocrine Condition Flashcards

1
Q

Beta cell destruction in pancreas (insulin dependent)
Autoimmune – genetic with precipitating factors

A

DM 1

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

Signs and symptoms:
Polyuria/Polydipsia/
Polyphagia
Weight loss
Fruity breath

What is it??

A

DM 1

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

Diagnosis of DM 1:

A

Elevated blood glucose >200
Elevated hemoglobin
A1C >7.0
+glucose and ketones in urine

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

Signs and symptoms:
Fruity breath
Kussmaul breathing
Fatigue, malaise, N/V, 3P’s, weight loss

What is it??

A

Diabetic Ketoacidosis (DKA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Diagnosis of Diabetic Ketoacidosis (DKA):

A

Significantly elevated blood glucose
+glucose and ketones in urine
Lab values (CO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Nursing Care for DKA

A

IV fluids & replace electrolytes
Insulin drip

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

Resistance to insulin
Increasingly common in pediatrics with obesity epidemic
Reversible

A

Type II Diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Diagnosis of Type II Diabetes

A

Two fasting glucose levels >125 or two random glucose levels >200
Hemoglobin A1C >6.5

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

Nursing care for Type II Diabetes:

A

Oral medications if hgb A1C 6.2-9.0
Insulin for hgb A1C >9.0

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

function as messengers and coordinators

A

hormones

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

Function of endocrine system

A

secrete hormones to regulate bodily functions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Signs and symptoms Delayed growth within first 2 years of life (

A

Hypopituitary (Growth Hormone Deficiency)

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

Diagnosis of Hypopituitary (Growth Hormone Deficiency)

A

Growth chart evaluation, labs (endocrine), bone age x-ray, Brain MRI

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

Normal puberty onset for girls and boys

A

Girls: 8-13y Boys: 9.5-14y

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

Incidence of puberty is 5x higher in girls than boys

A

Pituitary Hyperfunction (Precocious Puberty)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Signs and symptoms: Boys: facial hair, penile growth, increased masculinity Girls: breast development, onset of menarche Increase in LH, FSH, testosterone What is it??

A

Pituitary Hyperfunction (Precocious Puberty)

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

What do you give a patient with Pituitary Hyperfunction (Precocious Puberty)

A

GnRH agonist administration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Excessive amounts of GH releasedcausing excessive growth of long bones in adulthood after growth plates closed

A

Acromegaly

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

Excessive amounts of GH releasedcausing excessive growth of long bones in childhood before growth plates close

A

Gigantism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Complications of Acromegaly and Gigantism:

A

cardiomegaly, diabetes

22
Q

Medication for Acromegaly and Gigantism:

A

GnRH antagonists

23
Q

Signs and symptoms Insufficient production of antidiuretic hormone (ADH) What is it??

A

Diabetes Insipidous

24
Q

Two types of Diabetes Insipidus

A

Central and Nephrogenic

25
Signs & Symptoms: Polydipsia Polyuria Enuresis What is it?
Diabetes Insipidous
26
Diagnosis of Diabetes Insipidus:
Water deprivation test
27
Medication for Central Diabetes Insipidous:
Oral doses of desmopressin (DDAVP)
28
Medication for Nephrogenic Diabetes Insipidous:
Diuretics, Monitor I/O, Low solute diets
29
Rare in children Signs and symptoms Excessive levels of antidiuretic hormones Results in water intoxication N/V What is it??
Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
30
Nursing care for SIADH
Fluid restrictions 50-75% of maint. Daily weights Monitor I/O
31
32
Signs and symptoms Delayed growth Inability to tolerate cold Constipation Fatigue Poor feeding **What is it??**
Hypothyroidism
33
What medication would be given for Hypothyroidism?
Levothyroxine (Synthroid)
34
Causes Overproduction of TSH Autoimmune
Hyperthyroidism (Graves' Disease)
35
Signs and symptoms Goiter Protruding/reddened eyes Tachycardia **What is it??**
Hyperthyroidism (Graves' Disease)
36
What medications would you give for Hyperthyroidism (Graves' Disease)?
Antithyroid mediation, Beta-blockers, Radioactive iodine, surgery
37
Complication of Hyperthyroidism (Graves' Disease)
Thyroid storm
38
Signs and symptoms: Causes a decrease in calcium levels and increase phosphate levels in blood Vomiting Headaches Mental Deficiency (DiGeorge syndrome) Painful spasms of face, hands, arms, and feet Poor tooth development, apneic episodes, abdominal distention **What is it??**
Hypoparathyroidism
39
What medication would you give to a patient with hypoparathyroidism?
Supplemental calcium/vitamin D
40
Caused by rapid withdrawal from steroids, sepsis, surgical stress
Acute Adrenocortical Insufficiency (Adrenal Crisis)
41
Signs and symptoms LIFE THREATENING, failure to make enough adrenocorticotropic hormone (ACTH) Weakness, N/V/D, low blood pressure, fever, confusion **What is it??**
Acute Adrenocortical Insufficiency (Adrenal Crisis)
42
What medications would you give to a patient with Acute Adrenocortical Insufficiency (Adrenal Crisis)?
IV steroid and antibiotics, rehydration, vasopressor
43
Underactive adrenal gland Cause unknown
Chronic Adrenocortical Insufficiency (Addison Disease)
44
Signs and symptoms Under physical stress: weakness, fatigue, dizziness, rapid pulse, dark skin What is it??
Chronic Adrenocortical Insufficiency (Addison Disease)
45
What medication would you give to a patient with Chronic Adrenocortical Insufficiency (Addison Disease)?
Cortisol (PO or IM), monitor for dehydration (fluid and electrolyte imbalance)
46
Inability to produce cortisol Negative feedback system fails  excessive corticosteroid releasing hormone released and ACTH from ant pituitary Overproduction of ACTH causes adrenals to become hyperplastic excessive androgens released
Congenital Adrenal Hyperplasia
47
Signs & symptoms Ambiguous genitalia in females, precocious puberty in males **What is it??**
Congenital Adrenal Hyperplasia
48
Diagnosis of Congenital Adrenal Hyperplasia
newborn screening
49
What medication would you give to a patient with Congenital Adrenal Hyperplasia?
Glucocorticoid, genital surgery for females
50

Nur 4410 Peds Exam #2 (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions