ENDOCRINE ATI REVIEW

Question 1

propylthiouracil (PTU) fxn?

Answer 1

suppresses thyroid hormone and allow for weight gainand reduction in

• appetite bwoel movements
• and sweating

Question 2

diabetes insipidus prescribe

Answer 2

desmopressin acetate intranasal(DDAVP)

Question 3

Corticcosteroid therapy s/s (4)

Answer 3

• Risk of infection
• moonface
• osteoporosis muscle wasting
  weight loss NO

Question 4

SIADHproducing too much or too little?

Answer 4

too much…so you are retaining water and diluting sodium concentration

Question 5

Pheochromocytoma

Answer 5

A pheochromocytoma (fee-o-kroe-moe-sy-TOE-muh) is a rare, usually noncancerous (benign) tumor that develops in cells in the center of an adrenal gland. You have two adrenal glands, one above each kidney. Your adrenal glands produce hormones that give instructions to virtually every organ and tissue in your body.If you have a pheochromocytoma, an adrenal gland releases hormones that cause persistent or episodic high blood pressure. If left untreated, a pheochromocytoma can result in severe or life-threatening damage to other body systems, especially the cardiovascular system.

Question 6

Vanillylmandelic Acid, urineavoid caffine before the test

Answer 6

A VMA test may be ordered along with one or moremetanephrineorcatecholaminetests when a doctor suspects that a person has apheochromocytoma. They may be ordered when a person has persistent or recurringhypertensionthat is not responding to conventional therapies, to monitor the effectiveness of treatment for a pheochromocytoma, and periodically to monitor for recurrence.

Question 7

thyroid replacement therapy take on empty stomach?

Answer 7

YES

Question 8

Cushing’s Disease

• Thick/Thin skin?
• Increase/decrease hair growth
• Increase/decrease weight gain
• Increase/decrease BP

Answer 8

Thick/Thin skin?
Increase/decrease hair growth
Increase/decrease weight gain
Increase/decrease BP

Question 9

Type 1 diabetes mellitus and alcohol consumption

Answer 9

alcohol prevents liver production of flucose therefore consuming carbohydrates while drinking alcoholic beverages helps prevent hypoglycemiaInsulin dosage may need to be decreased due to the hypoblycemic effect of alcohol

Question 10

Insulin glargineSpecial consideration?

Answer 10

cannot be mixed with any other insulin in the same syringe

Question 11

Adrenal Insufficiency

• Moonface?
• weight loss?
• Increase/Decrease Ca?
• Increase/Decrease sodium?

Answer 11

• Moonface? NO
• weight loss? YES
  Increase/Decrease Ca? Increase/Decrease sodium?

Question 12

Hyperthyroidism

• Heat intolerance
• Lethargy
• Tremors
• Wide eyed/startled apprearance

Answer 12

• Heat intolerance YES
• Lethargy NO
• TremorsYES
• Wide eyed/startled apprearance YES

Question 13

Pre-op dx pheochromocytomaPRIORITY INTERVENTION?

Answer 13

AVOID PALPATING THE ABD

Question 14

TOTAL THYROIDECTOMYLARYNGEAL STRIDOR INDICATES?

Answer 14

RESIPRATORY OBSTRUCTION