endocrine Flashcards
excessive growth hormone caused by what?
tumor on pituitary gland (pituitary adenoma)
what does excessive growth hormone cause?
acromegaly
surgical treatment of acromegaly
hypophysectomy
meds for acromegaly
Octreotide (subQ 3 x week)
Sandostatin or Lareotide (q2-4 weeks)
cause of SIADH
excessive ADH production from posterior pituitary
symptoms of SIADH
hyponatremia, hypo-osmolality, HA, muscle cramps, vomiting, fluid retention
nursing management of SIADH
fluid restrictions, hypertonic (3-5%) NS, lower HOB, strict I/O, daily weights
Diabetes insidious caused by what deficiency
ADH
what drug can cause DI
Dilantin
what are labs of DI?
low urine SG, low urine osmolality, high serum osmolality , high Na,
most common cause of goiter
lack of iodine in diet
symptoms of hyperthyroidism
systolic murmus, HTN, dysrhythmias, weight loss
thyroid storm
increased s/s of hyperthyroidism
treatment of thyroid storm
PTU, methimazole, iodine, B-adgrenergic blockers
labs of thyroid storm
low TSH and high Thyroxine