Endocrine Flashcards
Oat cell cancer associated with which endocrine disorder?
SIADH
INCREASED Tsh and DECREASED T3 and T4 is associated with what?
myxedema coma, worse S/S than thyroid storm; decreased deep tendon reflexes, hypothermia, bradycardiac, slow/shallow RR
What medication is given for SIADH? What fluids?
Dilantin, 3% for severe hyponatremia
Etiology of DKA
young, Type I, new onset/noncompliance, infection, stress
Etiology of HHS
older, Type II, pancreatitis, TPN
Adrenal crisis medications and treatment
fluids and steroids; 0.9% NaCl; Decadron 1st, hydrocortisone after testing or known adrenal insufficiency
S/S of thyroid storm
decreased TSH, Increased T3/T4; fever, tachycardia, AMS, goiter, Inc LDH, inc bili
Treatment for thyroid storm
cooling, fluids/electrolyte replacement, plasma exchange, Iodine/lithium, pronanolol, Tylenol for fever; NO ASPIRIN
Treatment for myxedema coma
Rewarming, ABC’s, 3% for severe hyponatremia, Synthroid, rule out adrenal crisis
Is serum NA increased or decreased with SIADH?
decreased; dilutional hyponatremia d/t kidneys retaining water and decreased U/O: DILUTED; monitor for seizures
SIADH treatment
Identify cause, fluid restriction, 3%, Dilantin (inhibits ADH secretion), no hypotonic or free water; diuretics, do NOT correct Na too quickly
Urine specific gravity in SIADH
INCREASED because urine is concentrated; >1.030
Urine output in DI patients
6-24 L/day
Urine specific gravity in DI
LOW; 1.001-1.005
Serum NA and serum osm are increased or decreased in DI?
Increased, increased urine output= increased Na d/t water loss, Increased Na= increased osm
