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Mark Klimek Review > Endocrine Review > Flashcards

Endocrine Review Flashcards

1
Q

HYPERthyroidism S/S

A

weight loss, high pulse, high BP, irritable, heat intolerance, cold tolerance, exophthalamos (bulging eyes), GRAVES disease

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2
Q

Radioactive iodine

A

Patient needs to be by themselves for 24 hours (restriction of visitors)
If the urine is spilled, they must call the hazmat team!!

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3
Q

Risk with radioactive iodine

A

Only RISK to the Nurse is the patient’s urine (how the radioactivity is excreted!)

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4
Q

Urine (radioactive iodine)

A

flush 3 times!

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5
Q

PTU (propylthiouracil)

A

Puts Thyroid Under
CANCER drug!
IMMUNOsuppressor so monitor WBCs!!

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6
Q

thyroidectomy (most common way used)

A

TOTAL (complete) or SUBTOTAL (partial) tyroidectomy

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7
Q

TOTAL thyroidectomy

A

need lifelong hormone replacements.. at risk now for HYPOcalcemia!

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8
Q

SUBTOTAL thyroidectomy

A

do NOT need lifelong hormone replacements.. at risk now for THYROID STORM/CRISIS

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9
Q

THYROID Storm

A

medical EMERGENCY

can cause BRAIN damage!!!

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10
Q

Frying your brain w/ HYPOXIA

A

thyroid storm

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11
Q

S/S Thyroid storm

A

Super HIGH temps (105 & >)
Extremely HIGH BP’s (ex: 210/180-stroke category!)
Severe TACHYCARDIA (ex: 180-200) PSYCHOTIC DELIRIUM

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12
Q

Thyroid storm treatment

A

Get temperature DOWN & get the oxygen UP!!

*FIRST way to get temp down: ice packs.. BEST way to get temp down: cooling blanket… OXYGEN (per mask @ 10L)!!!

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13
Q

Tylenol (Thyroid storm treatment)

A

DO NOT USE - it works in the hypothalamus and isn’t going to work at this time..

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14
Q

Thyroid storm sequence

A

oxygen, ice packs, cooling blanket.. NEVER, EVER leave patient!

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15
Q

Thyroidectomy post-op

A

(1st 12 hours): priority = airway & hemmorhage.. (same for both!)

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16
Q

12-48 hours post-op

A

(12-48 hours): TOTAL: Tetany (muscular spasms in larynx; can cut off airway) due to low calcium..
SUBTOTAL: Thyroid STORM!

17
Q

> 48 hours post-op

A

INFECTION

18
Q

INFECTION

A

NEVER choose infection as a PRIORITY in the first 72 hours for
anything!!!
ONLY CHOOSE it after the first 72 hours!!!

Mark Klimek Review (1 decks)

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