Endocrine Flashcards
Causes siadh
Oat cell carcinoma
Viral pna
Head problems
Siadh
Too much adh Increase water Decreased Na. Dilutional hyponatremia Hypoosmolar Decrease uop
Treatment for siadh
Hypertonic solution 3% 25/hr
Fluid restriction
Cure the cause
In siadh watch for
Seizure activity
Di
No adh
Increased Na and osmolarity and uop(6-24L a day) and urine osmolarity(1.001-1.005)
Cause di
Head problems
Dilantin
Complications of do
Shock
Treament of di
Give adh(pitressin)
Fluids increase volume
Monitor urine specific gravity and EKG for st depression
Cvs of hypoglycemia
Tachycardia Palpitations Diaphoresis Irritable Restlessness
Cns of hypoglycemia
Confusion Lethargy Slurred speech Seizure Coma
Beta blockers effect hypoglycemia
No cardiac symptoms
Who gets hhnk?
Old people
Diet controlled diabetic
Tpn
Pancreatitis
Dka
Bs:400-900 Dehydrated 4-6L No insulin Acidosis and kussmal breathing
Hhnk
Bs:1000-2000 Severe dehydration 6-8L behind Have insulin No acidosis Lil tiny baby breaths
Treatment dka
Insulin Gtt
Fluids
Treatment of hhnk
Fluids
Insulin
Fluids for dka and hhnk
Ns
.45 saline
D5 .45 saline
What e- is important in dka?
Potassium cannot be low. It should be high in acidosis because k drops when ph is increased
Normal range of serum osmolarity
275-295 mOs/L
Norm range urine specific gravity
1.005-1.030
