ENDOCRINE #2 Flashcards
Addisons clinical manifestations
muscle weakness wt loss fatigue hypotension anorexia dry skin low Na High P+
Myxedema coma interventions
Give O2
fluids
patent airway
thyroid hormone, levothyroxine IV
Lispro given at 1630, watch for hypoglycemia at…
1830
Intervention of A1C
prevent hyperglycemia
what test measures BGL for 8-10 weeks
HgB A1C
pt is NPO with BGL of 52. what to do?
Call HCP
Diabetes insipidus clinical manifestations
polyuria
polydipsia
SIADH resolving will show specific gravity?
above 1.005
- SATA anything above 1.005
will buffalo hump w cushings resolve?
yes slowly with treatment
Graves disease interventions
high cal diet
monitor VS
keep room quiet
insulin drawn up
Nph to reg
Reg to nph
Nph cloudy
Why calcium after thyroidectomy
treat hypocalcemia with tetany
pt has hoarseness after thyroidectomy
temporary d/t swelling
rest voice
NPH given at 0830 when will pt experience hypoglycemia?
6-14 hours
Lispro onset?
15 minutes
DM foot care
use mild soap
warm water
apply lotion, not between toes
GOITER clinical manifestations?
hoarseness
dysphagia
enlarged thyroid
acromegaly manifestations
sleep apnea
large hand/feet
joint pain
ANDRE THE GIANT
DM has dehydration what check first
BGL
How do sulfonylureas act?
stimulate insulin production
decrease glucose production in the liver
decrease insulin metabolism in the liver
increase insulin sensitivity to target cells
stimulates pancreas to produce greater amounts of insulin
DM pt has nonhealing foot wound what to do?
Wound care consult
Post adrenalectomy what to teach pt
diet activity DB/C incentive spirometer s/s infection prevent incision infection
D/C instructions for Cushing’s
increase k+
decrease Na
check ankles for swelling
no contact sports
Spironolactone does?
decrease BP
increase sodium excretion
increase potassium secretion
lab that shows DM1 might have complication if
Ketonuria
(DKA=ketonuria+BGL > 250
will increase insulin for DM1 if
ketonuria
pt is ill
taking steroids
BGL not controlled
LIpodystrophy
when insilin injected into same site over and over again
New DM diet teaching
healthy snacks
diet drinks with no sugar
balanced meals
fruits for sweets
why abd for insulin injections
Fastest absorption
Hypoglycemia s/s
irritable personality changes tremors shakiness tachy palpitations diaphoretic pallor
Remember DM pts
need more insulin when ill
need to check BGL not urine
Never just stop insulin
check BGL before giving insulin