quiz 6 very focused review Flashcards
Hyperthyroid
- heat intolorent
- wt loss
- tachycardia
- systolic hypertention
- angina
- insomnia
- irritability
- moist skin
hypoparathyroidism
- low calcium
- decreased CO
- dysrhythmias
Who do we give SSKI to?
Potassium Iodide
- hyperthyroidism
- make sure to use straw-stains teeth
thyroidectony post op
- head support
- deep breathing
- help with positioning
- provide pillow to prevent suture braking
- at risk for respiratory due to swelling and bleeding
hypocalcemia signs
- chaviskis sign- facial twitches with nerve stimulation
- trousseau sign- carpopedal spasm caused by inflating BP cuff over systolic pressure for 3 min
older patients taking thyroid medication is reduced, why?
- metabolic rate slows down, decreased excretion, floats around he system longer as you age.
nurse priority for a patient with parathyroid taking calcitonin, what do we assess prior?
- sensitivity assessment
labs needed to diagnose hypothyroidism
- T3 and T4 will be low
bleeding assessent after thyroidectomy sx
- make sure to check behind neck
hyperthyroidism mood assessments
- irritability
- nervousness
hypothyroidism assessment
- bradycardia
myxedema
- hand
- feet
- around eyes
- hypo: give blanket if cold
cardiac issues with diabetes?
- hypotension
cushing syndrome causes
- asthma long term use of corticosteroids
hing syndrome characteristics
- moon face-
- fat trunk
- fat skin
addisons disease
- hyperpigmentation in exposed areas
- small joints
- little to no pubic hair
- increased potassium
- decreased glucose
acromegaly
- excess GH
hyperpituitarism
- causes acromegaly
- causes impotense ED
syminchia
- muscle wating in hypopituitarism
organs affected by DI
- nephrogenic- kidneys wont respond to ADH spec. gravity will fall
pheochroocytoma
- HBP
cushings
- moon face
- thin extremities
- humpty dumpty
nuchal rigitity
- meningitis
addisons crisis
- acute adrenal crisis
- adrenal insufficiency
- low level or cortisol
- caused by infection or trauma
why do ppl take hydrocotisone in addisons disease?
- replaces cortisol or glucocorticoid levels
SIADH (inappropriate ADH syndrome )
- weakness
- cramps
- wt gain
- headaches
hypophysectomy post op
- respiratory
- I and O
- IP fluid levels
- dressing discharge
- signs of meningitis
elder adult changes
- less sensitive metabolism goes down because of lack of of sensitivity from hormones, dehydration, fatty deposits decreases
addisons crisis manofestations
- confusion
- tachycardia
- hypotension
graves
- type of hyperthyroidism autoimmune disease
parathyroid is for?
- metabolism of calcium
- hyper: ppor muscle tone, weakness, weajer bones causes bone pain (risk for fx) urinary: renal calculi
