Lecture seven- ENDOCRINE

Question 1

hyperthyroidism is

Answer 1

hypermetabolism everything up

Question 2

the thyroid regulates

Answer 2

metabolism

Question 3

hyperthyroidism ss

Answer 3

exophthalmos, heat intol/cold tol, skinny, hyper, tachy

Question 4

hyperthyroidism is also known as

Answer 4

graves disease

“hyperthyroidism is going to run you into the grave

Question 5

hyperthyroidism tx

Answer 5

1. radioactive iodine; pt should be alone 24hrs and caution w urine
2. PTU; puts thyroid under; causes immunosuppression watch wbcs
3. thyroidectomy; total vs subtotal

Question 6

total thyroidectomy

Answer 6

lifelong hormone replacement increased rx for hypocalcemia

Question 7

subtotal thyroidectomy

Answer 7

some hormone rep & often no ca+ probs

increased rx of thyroid storm CAN CAUSE BRAIN DAM

Question 8

ss of thyroid storm

Answer 8

1. super high temp >105
2. Increase BP; stroke
3. severe tachycardia
4. dellirium

Question 9

thyroid storm tx

Answer 9

get temp down, o2, ice pack, cooling blankey

Question 10

thyroidectomy rx

Answer 10

1. airway
2. hemorrhage
   12-48hrs rx of tetany total
   12-48hrs rx storm subtotal
   48hrs infec

Question 11

hypothyroidism is

Answer 11

hypometabolism; myxedema

Question 12

hypothyroidism ss

Answer 12

chunky, lethargic, constipated, cold intol

Question 13

hypothyroidism tx

Answer 13

admin thyroid hormones

careful not to sedate

Question 14

never hold

Answer 14

thyroid pills

Question 15

adrenal cortex diseases

Answer 15

addisons

cushings

Question 16

addisons is

Answer 16

under secretion of cortisol; bronze; dont adapt to stress

Question 17

cushings is

Answer 17

over secretion of cortisol

Question 18

cushings tx

Answer 18

adrealectomy

Question 19

cushings s/s

Answer 19

hirsutism
hyperglycemia
moon face
buffalo hump
increased infections
striae
trunk obesity 
gynecomastia
easily bruising
retaining Na+ and H2O

Question 20

childrens toys ask

Answer 20

is it safe?
is it age appropriate?
is it feasible?

Question 21

no sm toys for children under

Answer 21

4

Question 22

no metal toys if pt is on

Answer 22

O2

Question 23

if a child is under 9 months never pick answer with

Answer 23

build,stack,construct,sort, make

Question 24

laminectomy is

Answer 24

removal of vertebral spines to relieve nerve root compression
pain, paresthesia, paresis

Question 25

long term tips for laminectomy

Answer 25

pt should bend at knees, no lifting over head (cervical), no jerky activities

Question 26

laminectomy locations

Answer 26

1. cervical
2. thoracic
3. lumbar

Question 27

cervical laminectomy preop

Answer 27

breathing, arm/hand function

Question 28

thoracic laminectomy preop

Answer 28

cough and bowels

Question 29

lumbar laminectomy preop

Answer 29

bladder, legs

Question 30

laminectomy postop

Answer 30

“log roll” no dangeling, no sitting longer than 30 min, walk, stand, lye down w/out restriction

Question 31

laminectomy cx

Answer 31

1. pneumonia- cervical,thoracic

1. urinary retention- lumbar