Flashcards in Test #2 Endocrine ARTICLES - Dwayne Deck (66)
The break down of fat and muscle for energy
The breakdown of glycogen into glucose
Type 2 Diabetes
Non insulin dependent
Type 1 Diabetes
Type 2 diabetes sub catagories
Obese and nonobese
Slow progressing adult insulin dependent DM is called?
(LADA) Latent autoimmune diabetes adult
The highest percent of those that have DM have what type?
Signs and symptoms of DM
polydipsia, polyuria, polyphagia, tiredness, irritability, fungal infections, poor wound healing, deterioration in vision
Type 2 DM results from?
Insulin resistance leading to elevated BGL and over working and eventually failing of the beta cells
NORMALLY type 1 DM Pt's are under or over weight?
NORMALLY type 2 DM Pt's are under or over weight?
T3 or T4 are more potent?
T3 or T4 is released more from the thyroid?
Anterior or posterior pituitary secretes TSH
Hypothyroid can be caused by?
Hashimoto thyroiditis, thyroidectoy, radioactive iodine anti-thyroid medication and iodine deficiency, Myxedema
hypoactive reflexes, depression cold intolerance, muscle fatigue and weight gain
Myocardial contraction, HR, Stroke volume and cardiac output decrese
Hypothyroid require less sedation and are prone to resp depression, premedicate w H2 blocker and reglan R/T decrease GI motility
Blunted baroreceptor reflex, more susceptible to hypotension with induction agents. Ketamine is recommended, drug metabolism maybe slower
Graves disease (most common 60-80%), toxic multinodular goiter, toxic adenoma, thyroiditis, TSH secreting pituitary tumor, overdose of thyroid hormone
weight loss, hyperactive reflexes, fine tremors, exopthalmos, or goiter
methimozole, propylthiourcil, propranolol
preferably Euthyroid, antithyroid drugs and beta blockers continue through day of surgery. NO NMB R/T inability to assess the RLN. Treat Hypotension with Neo, not ephedrine, it releases catacholamines.
Anesthetic Implications intr-op
Avoid SNS stimulating drugs: ketamine, panc, ephedrine
usually vasodilated and chronically hypovolemic producing sever hypotension during induction
NMB administer w caution R/T thyrotoxicosis is linked to myopathies and mysthenia gravis
Post-op : Thyroid storm
most likely onset 6-24 hrs post-op
due to removal of parathyroid glands, check in 24 hrs
Bilat recurrent laryngeal nerve damage
Adrenal gland cortex secretes?
mineralcorticoids (aldosterone), androgens and glucocorticoids (cortisol)
Adrenal gland medula secretes?
catecholamine's ( epi, norepi, dopamine)
tumor of the chromaffin cells secreting maninly norepi, some epi and dopaimine