Endocrine Patient

Question 1

What is the nurses role for a endocrine patient?

Answer 1

Diagnostic procedures and stabilisation within hospital
Owner education
Monitoring and maintain stabilising
CLient support and compliance

Question 2

What diet does an endocrine canine patient need?

Answer 2

High protein 
Normal levels of fat and carbs 
No simple sugars
High fibre helps control obesity and reduce glucose surge 
Same diet, same amount each day. 
No titbits

Question 3

What diet does an endocrine feline need?

Answer 3

High protein and low carbs 
Fibre content, not important 
May graze if preferred
Tins 'dilute' carbs though feed dry, if only eat that form
Diet important in diabetic remission

Question 4

What signs need to be monitored in endocrine patients?

Answer 4

Periodic checks at surgery 
Owner observation 
Check long term effects
Blood testing 
Urine testing 
Make sure they are recorded

Question 5

What can happen in an endocrine emergency?

Answer 5

Diabetic ketoacidosis

Hypoglycaemia

Question 6

Nursing care for hyperadrenocorticism

Answer 6

Reduce stress levels, care handling
May require some fat restriction in diet. Other dietry requirement may depend on concurrent conditions
Ensure nutrition intake is maintained, monitor BW, BCS and MCS
Montioring thorugh clinical signs and ACTH stimulation tests
Monitor skin integrity and infections
Client education

Question 7

Nursing care for hypoadrenocorticism

Answer 7

Stabilisation
Reduce stress levels, care handling - abdominal pain
Monitoring thorugh clinical signs and WBC counts and Na:K ratio
Client education re treatment, effects os stress and signs of crisis

Question 8

Nursing care for hypothyroidism

Answer 8

Client education
Monitoring via clinical signs and T4 levels
Improvement in clinical signs in 4-6 weeks

Question 9

Nursing care for hyperthyroidism

Answer 9

Assist with initial treatment
Medical - client education
Diet - not guaranteed for long term control