Exam 3 Flashcards
(56 cards)
What is the priority for diabetes Insipidus?
-monitor serum sodium levels Bc it tells if treatment of IV fluid replacement is effective
s/s of DI?
Fatigue, Extreme thirst, large urine output, nocturia
Hematocrit levels for DI
Male >49%
Female >44%
Hematocrit for SIADH
male<43%
female< 38%
Serum sodium for DI
> 145
Serum sodium for SIADH
<135
urine-specific gravity for DI
<1.005
urine specific gravity for SIADH
> 1.030
s/s of decreased TSH levels
Weight gain, thin hair, decreased libido
What can adrenal cortex overproduction of corticosteroids hormone cause?
moon face (facial puffiness)
Hyperparathyroid‘s relationship with calcium?
Hypercalcemia
decreased endocrine system as we age causes…
Disturb sleep patterns,Reduced metabolic rate,Lose bone density,Accumulate body fat, show increase in blood glucose
when metabolism goes down…
we feel cold
What is the negative feedback system
Self regulating system
PTH and calicum
How many ml or cc in an oz
About 29.5
How is hypopituitarism medicated?
- electrolyte imbalances
Nursing priority for removal of pituitary tumor (transsphenoidal hypophysectomy)
- good oral care to prevent dry mouth
- caution for bacterial infection
- nasal packing
- monitor for clear drainage which could indicate CSF leak which could lead to meningitis
possible result of long term steroid use
- osteoporosis
- decreased blood glucose levels
Medications that decrease immune response produce…
affects that decrease the secretion of corticotropin releasing hormone
how do you palpate the thyroid?
- behind patient
- below circled cartilage 
What does the parathyroid control?
- Calcium
- vitamin D
what can delay a puberty in adolescents?
Anterior pituitary
when we have not eaten in a long time how does our body maintain blood glucose levels?
glucagon secreted by the alpha cells in the pancreas
why do we never Suddenly stop steroid such as prednisone, glucocorticoids, mineralocorticoids etc.
Will cause the patient to go into hypovolemjc state 
