endococrine Flashcards
Hyperthyroidism +
high metabolism
high meta
- weight loss
- high pulse
high BP
-irritable
heat intolerance
Tachy
exothalamus
Bulging eyes
Graves disease
Youre going to run yourself to the grave
3 treatments for hyperthyrod
- Radioactive Iodine
- PTU
- Thyroidectomy
teaching for radioactive iodine
- patient should be by themselves for 24 hrs
- careful with urine….flush 3 time
pee spill + hazmat
What does PTU mean? (drug)
propylthiouracil
- Put Thyroid Under
primary use for cancer
monitor WBC b/c immunosuppressant
Most common treatment
Thyroidectomy
2 type of thyroidectomies
- subtotal
- total
sub total
- no hypocalcemia
- no lifelong therapy
total
- lifelong hormone replacement
- risk for hypocalcemia
-Chvostek + trousseaus
4 signs of thyroid storm
*Thyroid storm/Thyrotoxicosis/Thyroid crisis
- High temp…>105
- High BP/…210/180
- Severe tachycardia…180s
- Psychotic delirium
medical emergency
1st way to get temp down
ice packs
best way to get temp down
cooling blanket
how to get O2 up.
o2 mask @ 10L
when does this resolve ?
t3/t4 leaves their system…..DO NOT medicate!
1st 12 hr post -op risk?
Airway
2nd problem- Hemorrhage
12-24 post op (type matter
total= tetany
sub total= thyroid storm
after 48 hrs
infection
never pick infection in the first
72 hrs
hypothyroid =
hypo-metabolism
s/s of hypothyroid
- obese
- flat, boring dull
- cold intolerance
pre op order to question
zolpidem (sedative)
never hold_________ pills before surgery
thyroid pills
adrenal cortex diseases start with
a or c
addisons
under secretiion of adrenal
addisons s/s
- hyperppigment
- do not adapt to stress
addisons stress induced=
- glucose drops
- BP drops
SHOCK
TREAT addisons
give steroids
glucorticoids
- sone
cushing syndrome
-over secretion
cushy tushy
s/s of cushings = Cushman =
SE of steroids
