Endocrine Disorders Flashcards
Risk factors for endocrine disorders
Age
Trauma
Heredity
Environmental (chemicals radiation due to thyroid disorders in neck )
Consequences of other disorders
In general what risk factor is associated with endocrine disorders
AGE
Why is a pt of COPD at risk for endocrine disorders?
Because they have a greater use of steroids
Why do we want to know if pt has been exposed to chemicals at work
To see causes of endocrine disorder
Oil fields
Farm chemicals
Cotton gins (breathing in dust)
Common questions
Medications?
Surgery or radiation?
Changes in energy?
Tolerance to heat and cold?
Changes in weather and how it feels?
Weight loss and gain ?
What kind of assessment are we doing with endocrine disorders?
A thorough head to toe assessment
Body sites endocrine disorders that can be effected
Head and neck
Thorax
Abdomen
Extremities
Photographs
What areas should we note when a change of size starts taking place ?
Neck
Pant
Belt and hat size
Other physical assessments
Vitals
Integumentary
Height and weight
Mental and emotional status
Changes of endocinre system r/t aging
Decrease of general metabolism
Decrease ADH production
Decrease estrogen
Assessments of endocrine system r/t aging
Decrease Cold tolerance
Decrease apetite
Decrease HR and BP
nursing actions r/t aging endocrine system
Monitor thyroid lab, thyroid meds, layer clothing, nutrition , constipation,cognition
Increase risk for dehydration -offer fluids q2 hr if not contraindicated
Risk for injury
Handle with care
Reposition turn q2 hour
Moisturize skin
What is the number one lab to check
Thyroid
Med treatment for SIADH
Vasopressin antagonist
Diuretics
Sodium supplement (iv or PO)
Radiation or surgery
What vasopressin antagonist is used for the treatment of SIADH
Declomycin/demeclocycline
