Endocrine 5 Q

Question 1

State of relative or absolute insulin deficiency. Leads to hyperglycemia and metabolic acidosis

Answer 1

DKA

Question 2

For DKA, the glucose will be >

Answer 2

DKA >250

Question 3

Top nursing intervention for DKA

Answer 3

Establish IV and being F&E replacement

Question 4

You are treating DKA and going to administer insulin. Remember that this can quickly deplete

Answer 4

potassium

Question 5

In HHS, glucose is > _, but often greater than > _

Answer 5

> 600, >1000

Question 6

Is HHS and quicker or slower onset than DKA?

Answer 6

HHS is slower, but glucose can be very high before the problem is recognized

Question 7

In DKA, the patient has metabolic acidosis causing (4)

Answer 7

ketone breath odor, lethargy, coma, Kussmauls

Question 8

DKA is typically a type _ diabetic

Answer 8

one

Question 9

HHS is usually type _ diabetic

Answer 9

two

Question 10

There is no _ with HHS

Answer 10

ketosis

Question 11

Main difference from DKA, is HHS has enough insulin to prevent

Answer 11

ketone formation

Question 12

HHS often resembles a

Answer 12

stroke

Question 13

When blood glucose reaches 250, begin giving

Answer 13

IV dextrose solutions

Question 14

Treatment for DKA and HHS both have a priority of

Answer 14

fluid replacement

Question 15

In HHS, try to replace _ the volume in the 1st 24 hours

Answer 15

half

Question 16

Life threatening complication of untreated hypothyroidism. For this patient to survive they need IV thyroid hormone!

Answer 16

Myxedema Coma

Question 17

Extreme state of hyperthyroidism with hyperthermia

Answer 17

Thyroid storm, thyrotoxic crisis

Question 18

In thyroid storm, never give _ because it increases circulating hormones

Answer 18

Aspirin

Question 19

Life threatening response to adrenal insufficiency

Answer 19

Addisonian crisis

Question 20

For Addisonian crisis, give immediate IV

Answer 20

hydrocortisone