quiz 6 very focused review Flashcards
(31 cards)
1
Q
Hyperthyroid
A
- heat intolorent
- wt loss
- tachycardia
- systolic hypertention
- angina
- insomnia
- irritability
- moist skin
2
Q
hypoparathyroidism
A
- low calcium
- decreased CO
- dysrhythmias
3
Q
Who do we give SSKI to?
Potassium Iodide
A
- hyperthyroidism
- make sure to use straw-stains teeth
4
Q
thyroidectony post op
A
- head support
- deep breathing
- help with positioning
- provide pillow to prevent suture braking
- at risk for respiratory due to swelling and bleeding
5
Q
hypocalcemia signs
A
- chaviskis sign- facial twitches with nerve stimulation
- trousseau sign- carpopedal spasm caused by inflating BP cuff over systolic pressure for 3 min
6
Q
older patients taking thyroid medication is reduced, why?
A
- metabolic rate slows down, decreased excretion, floats around he system longer as you age.
7
Q
nurse priority for a patient with parathyroid taking calcitonin, what do we assess prior?
A
- sensitivity assessment
8
Q
labs needed to diagnose hypothyroidism
A
- T3 and T4 will be low
9
Q
bleeding assessent after thyroidectomy sx
A
- make sure to check behind neck
10
Q
hyperthyroidism mood assessments
A
- irritability
- nervousness
11
Q
hypothyroidism assessment
A
- bradycardia
12
Q
myxedema
A
- hand
- feet
- around eyes
- hypo: give blanket if cold
13
Q
cardiac issues with diabetes?
A
- hypotension
14
Q
cushing syndrome causes
A
- asthma long term use of corticosteroids
15
Q
hing syndrome characteristics
A
- moon face-
- fat trunk
- fat skin
16
Q
addisons disease
A
- hyperpigmentation in exposed areas
- small joints
- little to no pubic hair
- increased potassium
- decreased glucose
17
Q
acromegaly
A
- excess GH
18
Q
hyperpituitarism
A
- causes acromegaly
- causes impotense ED
19
Q
syminchia
A
- muscle wating in hypopituitarism
20
Q
organs affected by DI
A
- nephrogenic- kidneys wont respond to ADH spec. gravity will fall
21
Q
pheochroocytoma
A
- HBP
22
Q
cushings
A
- moon face
- thin extremities
- humpty dumpty
23
Q
nuchal rigitity
A
- meningitis
24
Q
addisons crisis
A
- acute adrenal crisis
- adrenal insufficiency
- low level or cortisol
- caused by infection or trauma
25
why do ppl take hydrocotisone in addisons disease?
* replaces cortisol or glucocorticoid levels
26
SIADH (inappropriate ADH syndrome )
* weakness
* cramps
* wt gain
* headaches
27
hypophysectomy post op
* respiratory
* I and O
* IP fluid levels
* dressing discharge
* signs of meningitis
28
elder adult changes
1. less sensitive metabolism goes down because of lack of of sensitivity from hormones, dehydration, fatty deposits decreases
29
addisons crisis manofestations
* confusion
* tachycardia
* hypotension
30
graves
* type of hyperthyroidism autoimmune disease
31
parathyroid is for?
* metabolism of calcium
* hyper: ppor muscle tone, weakness, weajer bones causes bone pain (risk for fx) urinary: renal calculi
