Endocrine Flashcards
diagnostic tests to determine thyroid activity
T3, T4
what condition results from all treatments for hyperthyroidism
hypothyroidism, requiring thyroid replacement
3 symptoms of hyperthyroidism and 3 for hypo
hyper: weight loss, heat intolerance diarrhea. hypo: fatigue, cold intolerance, weight gain
5 important teachings for those beginning corticosteroid treatments
continue meds until weaning plan is begun by physician monitor serum potassium, glucose and sodium frequently, weight daily and report gain of greater than 5 lb a week, monitor BP and pulse, teach symptoms of Cushings
physical appearance of cushings
moon face, truncal obesity, buffalo hump, muscle atrophy, thin skin
5 symptoms of hyperglycemia
polydipsia, polyuria, polyphagia, weakness, weight loss
5 symptoms of hypoglycemia
hunger, lethargy, confusion, tremors or shakes, sweating
the nurse is in a situaiton where there is no premixed insulin. Describe the method of drawing up a mixed dose of insulin (regular with NPH),
Identify dose and type of insulin per order, store unopened in fridge. Opened insulin can be stored at room temp. Draw regular first, rotate injection sites, may reuse syringe by recapping and storing in fridge
Identify the peak action time of the following types of insulin, rapid acting regular insulin, intermediate acting insulin, and long acting insulin
Rapid acting regular insulin: 2-4 hours. Immediate acting insulin: 6-12 hours. Long acting insulin: 14-20 hours
the relationship between stress, exercise, bedtime snacking, and glucose balance
stress and stress hormones usually increase glucose production and increase insulin needs. Conversely, exercise may increase the change of hypoglycemic reactions, therefore the client should always carry afast acting source of carbs such as glucose tablets or hard candies when exercising
client is complaining of headache, slight nausea, minimal trembling.
hypoglycemia/insulin reaction
