endocrine 1

Question 1

lab values K

Answer 1

3.5-5.3

Question 2

lab values Ca

Answer 2

8.2-10.2

Question 3

lab values Na

Answer 3

135-145

Question 4

lab values glu

Answer 4

adult <100
prediabetic 100-126
diabetes = or >126 on 2 tests

Question 5

lab values bicarb

Answer 5

23-29

Question 6

lab values Mg

Answer 6

1.6-2.6

Question 7

hypofunction assessment

Answer 7

failure of hormone level to rise w stimulation

Question 8

suppression tests

Answer 8

used when hormone levels are high or upper range off normal

Question 9

hyperfunction assessment

Answer 9

failure of suppression of hormone production during testing

Question 10

assay test

Answer 10

measures the level of a specific hormone in blood or other body fluid

Question 11

age related changes-4

Answer 11

1. decreased ADH production
2. decreased estrogen production
3. decreased glucose tolerance
4. decreased general metabolism

Question 12

24 hour urine specimen test-6

Answer 12

1. start by emptying bladder, don’t save, start timer
2. collect all urine, including last, to end
3. check w lab for special instructions
4. preservative added at beginning if indicated
5. preservative may be caustic-don’t splash
6. place in seperate cooler w ice if indicated

Question 13

hyperpituitary ass- multiple endocrine neoplasia type 1

Answer 13

• autosomal dominent inheritance usually expressed as benign tumor
• excess GH and acromegaly
• backache, joint pain, headaches, changes in vision

Question 14

acromegaly-4

Answer 14

• gradual progression
• thick lips, coarse facial features, increased head size, lower jaw protrusion, enlarged hands and feet, heart and liver enlargement

Question 15

contraindications for testosterone tx

Answer 15

prostate cancer

-side effects gynecomastia, acne, baldness, and prostate enlargement

Question 16

bromocriptine mesylate education

-hyperpituitarism-4

Answer 16

• stim dopamine and inhibit GH and PRL
• orthostatic hypotension, gastric irritation, nausea, headaches, abdo cramps, and constipation
• take w food, no pregnancy
• med emergency- chest pain, dizziness,watery nasal discharge

Question 17

hypophysectomy post-op care-6, 6 don’ts

Answer 17

1. hourly neuro checks
2. fluid balance
3. encourage deep breathe
4. don’t: cough, sneeze, blow nose, brush teeth, bend at waist, constipation strain
5. monitor nasal drip pad for type and amt of drainage
6. teach self admin of hormones

Question 18

DDAVP

Answer 18

• synthetic vasopressin (ADH)
• treatment for DI, restricts water loss-> can cause fluid overload
• watch for weight gain more that 2.2lb

Question 19

conivaptan effect eval (SIADH)

Answer 19

• vasopressin antagonists that promote water excretion w/o causing Na loss
• only in hosp-watch for hypernatremia, fluid overload, pulmonary edema, change in LOC

Question 20

adrenal adenoma

Answer 20

• increased secretion of aldosterone
• hypernatremia, hypokalemia, metabolic alkalosis
• HTN, headache, fatigue, muscle weak, dehydration

Question 21

adrenal adenoma labs

Answer 21

• Low- K, renin, urine sp grav

- high- Na, aldosterone, pH