endococrine Flashcards

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1
Q

Hyperthyroidism +

A

high metabolism

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2
Q

high meta

A
  • weight loss
  • high pulse
    high BP
    -irritable
    heat intolerance
    Tachy
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3
Q

exothalamus

A

Bulging eyes

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4
Q

Graves disease

A

Youre going to run yourself to the grave

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5
Q

3 treatments for hyperthyrod

A
  • Radioactive Iodine
  • PTU
  • Thyroidectomy
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6
Q

teaching for radioactive iodine

A
  • patient should be by themselves for 24 hrs
  • careful with urine….flush 3 time
    pee spill + hazmat
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7
Q

What does PTU mean? (drug)

A

propylthiouracil
- Put Thyroid Under

primary use for cancer
monitor WBC b/c immunosuppressant

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8
Q

Most common treatment

A

Thyroidectomy

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9
Q

2 type of thyroidectomies

A
  • subtotal

- total

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10
Q

sub total

A
  • no hypocalcemia

- no lifelong therapy

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11
Q

total

A
  • lifelong hormone replacement
  • risk for hypocalcemia

-Chvostek + trousseaus

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12
Q

4 signs of thyroid storm

A

*Thyroid storm/Thyrotoxicosis/Thyroid crisis

  1. High temp…>105
  2. High BP/…210/180
  3. Severe tachycardia…180s
  4. Psychotic delirium

medical emergency

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13
Q

1st way to get temp down

A

ice packs

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14
Q

best way to get temp down

A

cooling blanket

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15
Q

how to get O2 up.

A

o2 mask @ 10L

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16
Q

when does this resolve ?

A

t3/t4 leaves their system…..DO NOT medicate!

17
Q

1st 12 hr post -op risk?

A

Airway

2nd problem- Hemorrhage

18
Q

12-24 post op (type matter

A

total= tetany

sub total= thyroid storm

19
Q

after 48 hrs

A

infection

20
Q

never pick infection in the first

A

72 hrs

21
Q

hypothyroid =

A

hypo-metabolism

22
Q

s/s of hypothyroid

A
  • obese
  • flat, boring dull
  • cold intolerance
23
Q

pre op order to question

A

zolpidem (sedative)

24
Q

never hold_________ pills before surgery

A

thyroid pills

25
Q

adrenal cortex diseases start with

A

a or c

26
Q

addisons

A

under secretiion of adrenal

27
Q

addisons s/s

A
  • hyperppigment

- do not adapt to stress

28
Q

addisons stress induced=

A
  • glucose drops
  • BP drops

SHOCK

29
Q

TREAT addisons

A

give steroids
glucorticoids
- sone

30
Q

cushing syndrome

A

-over secretion

cushy tushy

31
Q

s/s of cushings = Cushman =

A

SE of steroids