Endocrine Rationales Flashcards
If a client has slurred speech and lethargy you should keep them ______.
NPO - b/c they can choke.
Water deprivation test is used to diagnose ________.
DI
Headache, hyperglycemia, and HPTN are all symptoms of ________.
Pheocrymocytoma
What test confirms pheocrymocytoma?
24 hour urine test is needed
_______ ______ are the most critical priority in the pre-operative period.
Vital Signs
Name the three manifestations of adrenal crisis?
- Hypovolemia
- Hypotension
- Tachycardia
weight gain, constipation, abdominal distention, and peripheral edema are all signs of ________.
Hypothyroidism
What type of insulin is usually loaded into pumps?
Rapid / short acting such as Aspart
When using an insulin pump you should _______ sites.
rotate
You should change the pump cannula / infusion Q ____ - _____ days.
2-3 days
When using an insulin pump a client is at high risk of _______.
DKA due to possible infection of the injection site.
Don’t ______ the vial insulin prior to inserting it in the pump.
roll
What does vigorous exercise require for Addison’s patients?
Additional dosage of the clients steroids.
Nephrolithiasis is another name for?
Kidney Stone
Potassium levels are more critical than ______.
glucose
Which insulin is common to use for HHS?
Short or rapid acting
HHS can lead to severe ________.
dehydration
Tx for HHS emphasizes ______ ________. It is the priority treatment.
fluid replacement
In HHS there is _______ hyperglycemia.
severe
A thyroid storm is manifested with _____, ______, _________, ________.
- Tachycardia
- Fever
- HPTN
- Restlessness
When a DM patient exercises the BG will initially _______.
increase
For a DM you should avoid exercise when?
During peak insulin times.
Name 4 ways a patient can combat exophthalmos.
- artificial tears
- Stop smoking
- Sleep with the HOB elevated
- Cool compress to the eyes
DI patients don’t need to restrict their _____ ______. Even after a certain time of day.
fluid intake
In DKA patients IV regular insulin is prescribed to ______ _____ ______.
Treat the ketoacidosis
Name 4 common findings of hypoglycemia.
- Blurred Vision
- Cool / clammy skin
- Palpitations
- Paresthesias
Obesity, periorbital edema, and a decrease in motivation are all signs of ______.
Hypothyroidism
When does regular insulin peak?
2-4 hours after injection.
When does NPH (intermediate) peak?
4-12 hours following administration.
When a client has morning hyperglycemia what is it called?
Dawn Phenomenom
Morning hyperglycemia from counterregulatory response to nighttime hypoglycemia.
Somogyi effect
The therapeutic goal for glucose to drop is ____ - _____ mg/dl/hr.
50-75
A good A1C is <___%
7
The two tx for nephrogenci DI is ______ or _____.
Thiazide diuretics or NSAIDS
When in adrenal crisis your glands are not _____ _____ ______.
making enough cortisol
Why is physical activity good for hypothyroidism?
- promotes bowel regulatory
- weight reduction
when taking TPN there is a higher risk for _______ than ______.
hyperglycemia than hypoglycemia.
Why are patients in a thyroid storm prescribed dexamethasone?
It inhibits the conversion of T4 into T3.
Hyperthyroidism leads to ______ system activity.
Nervous system (Tremors in the hands and feet)
Is drinking one glass of red wine 3 times a week a concern for developing DM 2?
NO
Hyperglycemia patients may experience _____ ______ d/t hypovolemia.
Orthostatic hypotension
What is a transphenodial hypophysectomy?
surgery to remove a tumor or part of the pituitary gland.
After a hypophysectomy a client should be closely monitored for what? 4
- HA
- N/V
- UO
- Vital signs
A normal MAP is between ______ - ______.
70-100
The average arterial pressure throughout one cardiac cycle, systole, and diastole is known as the?
MAP
Cataracts and VT are associated with with endocrine condition?
Cushing’s
The priority tx for Addison’s is?
admin prescribed hydrocortisone (prevent addisonian crisis)
Does pheochromocytoma cause hyper or hypoglycemia?
Hyperglycemia
Red conjunctiva is associated with rich endocrine disorder?
Hyperthyroidism
Cushing’s syndrome is characterized by chronic exposure to a _______.
glucocorticoid.
