chapter 45 part 2 vidlec Flashcards
general muscle hypertonia, with tremor and spasmodic or uncoordinated contractions occurring with or without efforts to make voluntary movements
tetany
‘a sharp tapping over the facial nerve’ just in front of the parotid gland and anterior to the ear causes spasm or twitching of the mouth, nose, and eye
chvostek sign
carpopedal spasm is induced by occluding the blood flow to the arm for 3 minutes with a blood pressure cuff
Trousseau sign
occurs with extreme elevation of serum calcium levels
hypercalcemic crisis
what type of iv fluid should be given to hypercalcemic crisis
isotonic
glands that regulates calcium and phosphorus
parathyroid glands
if there is an increase in calcium, what will happen in phosphorus
decrease
hypocalcemia; hyperphosphatemia
hypoparathyroidism
what vitamin deficiency is present in hypoparathyroidism
vitamin D
normal level of calcium:
8.5 to 10.2 mg/dL
what is the suggested water intake every day?
2000 ml
what part of the adrenal gland secretes catecholamine (adrenaline/ epinephrine, norepinephrine)
adrenal medulla
what part of the adrenal gland produces/synthesizes steroid hormones
adrenal cortex
what are the catecholamines
norepinephrine
epinephrine
adrenaline
what are the steroid hormone
glucocorticoids (cortisol)
mineralocorticoids (aldosterone)
sex hormones (androgen)
stress hormone
cortisol
what disease:
slim, weight loss, GI disturbances, weakness, changes in distribution of body hair (ALOPECIA), HYPOGLYCEMIA, postural hypotension, BRONZE PIGMENTED SKIN
addison’s disease
There is insufficiency in the hormones in the adrenal cortex
addisons disease
what is the treatment for addisons
lifelong hormone replacement therapy of cortisones
Personality changes, MOON FACE, ↑susceptibility to infection, edema, HYPERglycemia, gynecomastia (male), osteoporosis, purple striae, CENTRAL OBESITY with thin extremities, amenorrhea and hirsutism (female)
cushing syndrome
High hormones in the adrenal cortex (cortisol)
cushing syndrome
endogenous or exogenous?
tumor
endogenous
endogenous or exogenous?
medication
exogenous
what is the treatment for cushing
surgery; discontinue reduce corticosteroids medication