We are fucked Flashcards by Brooks Beyerlein

Q

what are the risk factors for DI?

A

trauma, kidney disease, medications, infection, cancer,

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Q

what the risk factors for SIADH?

A

vasopressin, NSAIDs, autoimmune, cancer, and pulmonary issues

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Q

what are the symptoms for DI?

A

polyuria…greater than 3L, polyphagia, polydipsia, signs of dehydrations…..hypotension, tachycardia, weak thready pulse, poor skin turgor

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Q

what labs will be run for DI

A

BMP- hypernatremia, hypokalemia, high bun and creatining

Urine specific gravity will be low

24 hour urine

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Q

what are the symptoms of hypernatremia?

A

decreased LOC, headache, thirst

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Q

What are the symptoms for SIADH

A

Oliguria, crackles in the lungs, signs of hypervolemia, hypertension, bounding, pulses, distended, neck, veins, hyponatremia…. nausea, vomiting, headache, fatigue, drowsiness, decreased LOC, and seizures

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Q

What labs will you run for SIADH?

A

BMP – hyponatremia, hyperkalemia, high bun, and creatinine

Urine specific gravity- high

24 hour urine

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Q

What are the treatment options for fixing diabetes insipidus

A

Vasopressin…don’t give to heart patients patients…can cause hypervolemia

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Q

What non-medical things should a nurse be watching for in DI and SIADH patients

A

Intake, output, and daily weights

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Q

What are the medical interventions for SIADH

A

Fluid restriction to 500 to 1500 ML’s

Diuretics

3% hypertonic saline

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Q

What precautions are SIADH patients on

A

Seizure

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Q

L what are the risk factors for Addison’s disease?

A

Auto immune disease, TB infection, trauma surgery

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Q

What are the symptoms of Addison’s disease?

A

Hyperpigmentation/vitiligo, week, weak, pulses, hypotension, hyponatremia, hypoglycemia, hypercalcemia, hyperkalemia, metabolic acidosis

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Q

What diagnostics are ran for Addison’s disease?

A

BMP, cortisol levels, and ABG

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Q

What are the treatment options for Addison insufficiency?

A

Fluids with dextrose, prednisone, hydrocortisone

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Q

What caused an addisonian crisis?

A

Abrupt withdrawal of steroids, trauma, infection, stress

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Q

What is the treatment for addisonian crisis?

A

Hypertonic, fluids, steroids, electrolyte replacement, glucose, insulin, bicarb, if necessary

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Q

What are the risk factors for Cushing?

A

Steroid use, females age 25 to 45

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Q

What are the symptoms of Cushing’s disease?

A

Moon phase, Buffalo hump, trunk, obesity, hypertension, insomnia, hirusutism(hairy), increase risk of fractures, increase risk of infection and increase bleeding time

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Q

What happens to the electrolyte balance in Cushing’s

A

, hypokalemia, hypocalcemia, hypernatremia, and hyperglycemia

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Q

What precautions do you take in Cushing’s patients?

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A

Sun, infection, exposure, sodium intake, bleeding, precautions, and skin precautions

Q

What are risk factors for hypothyroidism?

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A

Auto immune, cancer, surgery, hyper thyroid treatment, trauma, infections, women, iodine deficiency

Q

What do you keep in mind for hypothyroid symptoms?

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A

All symptoms are low and slow

Q

What treatments are available for hypothyroidism

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A

Levothyroxine

What should you keep in mind when giving levothyroxine

Take the medication early in the morning on an empty stomach, may cause tachycardia, and watch patients taking insulin

What can you do for patients with hypothyroidism?

Give oxygen, warm, IV, fluids, maintain airway, high fiber, diet,

What are risk factors for hyperthyroidism?

Graves' disease women,too much iodine

What to keep in mind for symptoms for hyperthyroidism

High and fast

What are the treatment options for hyperthyroidism?

Proplythirouracil, methimazole, and radioactive iodine

What do you keep in mind when administering proplythiouracil

Avoid sick people and monitor for liver toxicity

What to keep in mind, when administering methimazole

Report signs of hypothyroidism and liver toxicity

What do you keep in mind when taking radioactive iodine

Use different toilets and flush with lid down at least three times Put body fluids in radioactive bag No sharing utensils Wash clothes separately Avoid contact with pregnant women Isolation. For two more weeks. Low iodine… Avoid shellfish and salt

What surgical procedure is used for hyperthyroidism thyroid?

Thyroidectomy

What to do with your thyroid ectomy patients?

Administer levothyroxine, monitor for hemorrhage, monitor for thyroid storm, monitor for hypocalcemia due to damage to parathyroid, put in semi-Fowlers

What causes a thyroid storm?

Uncontrolled hyperthyroidism, surgery, infection, trauma, DKA, palpation of goiter

What are symptoms of thyroid storm?

High, fever, severe, hypertension, tachycardia

What is the treatment for thyroid storm?

Give patent airway, give anti-thyroid medication's give iodine, give, beta blockers, cardiac monitoring, cooling

What is the cause of myexedema edema coma?

Uncontrolled hypothyroidism, acute illness, surgery, discontinuing thyroid replacement

What are symptoms of myxedema coma

Respiratory failure, severe hypotension, hypothermia, hypoglycemia, hyponatremia

What is the treatment for myxedeam coma

IV. Levothyroxine, glucose, hypertonic, fluids, maintain airway.

What are the risk factors of hypoparathyroidism?

Removal of parathyroid glands, and autoimmune

What are the symptoms of hypoparathyroidism?

Hypocalcemia.... Tingling and numbness of mouth and hands, muscle cramps, tetany, seizures, LOC changes, positive Chvostek and troussea

What are the diagnostics for hypoparathyroidism?

Serum calcium levels will be low phosphorus will be high Ultrasound of the gland

What are the treatment options for hypo parathyroid?

Calcium, gluconate, oral, vitamin D, magnesium sulfate

What diet do hypoparathyroidism patients need?

Avoid milk, yogurt and processed cheese Encouraged dark, leafy greens Encourage dairy such as cottage cheese, blue cheese, feta, and Parmesan

What are the risk factors for hyperparathyroidism?

Parathyroid, tumor, neck, trauma

What assessment findings will you find in a hyperparathyroidism patient

Hypercalcemia… fractures, renal, calculi, osteoporosis, cardiac arrhythmias

What labs and diagnostics do you do for a hyperparathyroid patient

Calcium will be high phosphorus, will be low, ultrasound, the parathyroid gland

What operation do you do for a hyperparathyroid patient?

Parathyroidectomy

What medication will a hyperparathyroid patient take

Diuretics and calcitonin with large amounts of isotonic fluids

What diet will a hyperparathyroid patient be on?

Dair, whole grains, and nuts, and anything processed

What are the symptoms of hyponatremia?

Nausea, vomiting, headache, fatigue, drowsiness, decrease, seizures,