Endocrine Flashcards

0
Q

Causes siadh

A

Oat cell carcinoma
Viral pna
Head problems

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1
Q

Siadh

A
Too much adh
Increase water
Decreased Na. Dilutional hyponatremia
Hypoosmolar
Decrease uop
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2
Q

Treatment for siadh

A

Hypertonic solution 3% 25/hr
Fluid restriction
Cure the cause

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3
Q

In siadh watch for

A

Seizure activity

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4
Q

Di

A

No adh

Increased Na and osmolarity and uop(6-24L a day) and urine osmolarity(1.001-1.005)

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5
Q

Cause di

A

Head problems

Dilantin

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6
Q

Complications of do

A

Shock

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7
Q

Treament of di

A

Give adh(pitressin)
Fluids increase volume
Monitor urine specific gravity and EKG for st depression

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8
Q

Cvs of hypoglycemia

A
Tachycardia
Palpitations
Diaphoresis
Irritable
Restlessness
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9
Q

Cns of hypoglycemia

A
Confusion
Lethargy
Slurred speech
Seizure
Coma
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10
Q

Beta blockers effect hypoglycemia

A

No cardiac symptoms

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11
Q

Who gets hhnk?

A

Old people
Diet controlled diabetic
Tpn
Pancreatitis

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12
Q

Dka

A
Bs:400-900
Dehydrated
4-6L
No insulin 
Acidosis and kussmal breathing
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13
Q

Hhnk

A
Bs:1000-2000
Severe dehydration
6-8L behind
Have insulin
No acidosis
Lil tiny baby breaths
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14
Q

Treatment dka

A

Insulin Gtt

Fluids

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15
Q

Treatment of hhnk

A

Fluids

Insulin

16
Q

Fluids for dka and hhnk

A

Ns
.45 saline
D5 .45 saline

17
Q

What e- is important in dka?

A

Potassium cannot be low. It should be high in acidosis because k drops when ph is increased

18
Q

Normal range of serum osmolarity

A

275-295 mOs/L

19
Q

Norm range urine specific gravity

A

1.005-1.030