Lecture 7 endocrine Flashcards
Thyroid regulates
metabolism
Hyperthyroidism - Graves
High metabolism
Weight loss
High BP
High Hr
Anxious
Irritable
METH ADDICT GETS METH
Hyperthyroidism Tx
- Radioactive Iodine -room by self for 24 hrs, careful with urine, flush three times after urine, call hazmat for urine
- PTU Propylthiouracil immunosuppressant WBC
- Thyroidectomy
total - need lifelong therapy monitor calcium check Trousseaus and Chvostek’s
sub total - do not need life long hormone replacement
Thyroid Storm
high temp over 105
high bp STROKE CATEGORY
severe tachy
psychotic delirium
MEDICAL EMERGENCY GET TEMP DOWN and O2 UP
Post Op Risks Thyroidectomy
1st 12 - airway and hemorrhage
12-48 hours
Total - look at tetany due to low Ca
Sub Total - look at Thyroid Storm
48 hours - infection
Hypothyroidism
low metabolism
obese, cold intolerance, low Bp, heart rate
Myxedema
give thyroid horomone
Give Levothyroxine
Addisons
Under secretion of hormones
a. Hyperpigmentation
b. do not adapt to stress
give steroids - glucocorticoids
Cushings
Over secretion of horomones
s/s moon face, hirstism, central obesity, bumps, high water and Na, loose K, hyperglycemia, irritable, immunosuppression
tx adrenalectomy
0-6 months toy
music mobile
2nd choice Large and SOFT
sensory motor
6 -9 months toy
cover uncover toy
jack in box, pop ups. peek a boo
2nd best large and hard
OBJECT PERMANANCE
9 - 12 months
work on vocalization
speaking toys - elmo, talking books
toddler 1-3 years
best - push pull toys wagons, strollers
Parallel play
NOTHING WITH FINGER DEXTERITY
NO color pencils, scissors
Preschoolers
cooperative and pretend play
use finger dexterity and balance
tricycles, tumbling, skating, scissors, color pencols
School Age
Three C’s Creative, collective, competitive
Coloring book/legos
barbies
winner
Adolescents
peer group
