Endocrine Flashcards
What is an adverse effect of sulfonyurea?
hypoglycemia and weight gain
What should you teach to patients taking sulfonylurea?
taught to use sunscreen and protective clothing.
What are thiazolidinediones? TAZONES
Used to treat Diabetes
What is the neg affects of litazone meds?
can worsen heart failure, and put risk of bladder cancer
What is levothyroxine?
A med use to treat hypothroidism
What does the insulin pump do?
Maintains steady continuous dose
provides bolus dose at mealtime
What IV first should be administered when a DKA pt comes?
Normal saline 1/2.
What is metabolic syndrome?
Insulin resistancec
What is the criteria for metabolic syndrome?
We Better Think High Glucose
What can lead to small cell lung cancer?
SIADH
What do you teach with someone taking long term corticosteroids?
Don't stop abruptly S/s of infection increase dose when stressed side effect is hyperglycemia can cause osteoporosis and muscle weakness cataracts gi upset watch for cusing.
What is the long acting once daily insulin?
Glargline
What is the twice daily immediate acting?
NPH
O6P8D10-12
What is short acting 2-5
Regular(O1P2D4)
What is short acting 0.5-3hrs
Lispro
O15MINP30MIND3h
What is something to watch for with acromeagly?
Additional heart sounds s3/4 can indicate HF.
How does stress induced hyperglycemia occur?
In hospital from: surgery trauma acute illness infection
What is the target glucose for critical ill pt?
7.8-10.0
When taking radioactive iodine pt must
antithyroid med must be held for 5-7 days
all premenopausal women must take a preg test before the procedure
npo 2-4 hrs prior to procedure
remove dentures / jewelry
What type of diabetes in ketone prone?
DM 1
S/S DKA
DKA
Dehydration
Ketones, High K, Kussmal
Acidosis / Acetone, Anorexia
Treatment for High DKA?
IV R
S/S for dm 2 high ?glucose
High
High HR
Dry
They are dehydrated
What is hypothyroidism?
Myexdema
S/S myexdema
weight gain, htn, constipation, lethargy cold intolerance
What is hyperthyroidism?
Grave’s disease
