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nurse 102 > ENDOCRINE > Flashcards

ENDOCRINE Flashcards

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1
Q

Addisons disease

clinical manifestations

A 
fatigue
n/v/diarrhea
anorexia
hypotension
confusion
low BGL
Low Na
high K+
hyperpigmentation
vitiligo
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2
Q

myxedema coma

Interventions

A

Monitor vital signs
IV solutions
Iv thyroid synthroid.

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3
Q

Lispro

A

Fast acting
O: 5-30 minutes
P: 30-90 minutes
D: 3-5 hours

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4
Q

HBA1C

teaching

A

Normal range under 6%
measures average glucose levels in hgb for past 3 months
pt doesn’t need to fast prior
it evaluates effectiveness of long-term DM treatment.
.

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5
Q

Hypoglycemia

clinical manifestations

A 
cool clammy skin
diaphoresis
palpitations
fatigue/weakness
confusion
headache
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6
Q

SIADH

A

low Na
low BUN
low creatinine

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7
Q

glycemic control

A

accucheck- 70-110
Fasting blood sugar- <100
2 hr oral glucose tolerance- <140
Hba1c- <6%

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8
Q

Diabetes insipidus

Clinical manifestations

A 
excessive urine
polydipsia
dehydration
decreased skin tugor
muscle pain/weakness
postural hypotension
Tachycardia
low specific gravity
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9
Q

Sulfonylureas

side effects

A 
n/v
anorexia
abd cramps
hypoglycemia
hepatoxicity
rash
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10
Q

Cushings Syndrome

Nursing interventions

A 
daily wt
I&O
monitor BGL
encourage adequate rest
high cal high calcium diet
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11
Q

Lispro

A

Rapid acting
O= 5-30mins
P= 30-90 mins
D= 3-5 hours

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12
Q

Thyroidectomy

Medical treatment

A 
can cause laryngeal spasms
Have trach kit ready
RDS
Laryngeal damage
hemorrhage
hypothyroid
oral K+ iodine
diet high in iodine
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13
Q

THyroidectomy

Nursing interventions

A

NOw hypothyroidism, treat that
s/s hypocalicemia
s/s thyroid crisis

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14
Q

Goiter assessment

A

Dysphagia?
dyspnea
tight feeling in the throat
cough

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15
Q

Acromegaly

treatment

A

Dopamine antagonist to decrease tumor
removal of tumor
proton beam radiation to destroy tumor
gamma knife radiosurgery

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16
Q

DM Dehydration

Nurse priority

A 
fluid replacement
maintain stable BGL
correct electrolyte imbalance
IV vit K+
monitor neuro changes
EKG changes
hourly accucheck.

nurse 102 (13 decks)

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