Random Review for Test Flashcards
What is acromegaly?
syndrome resulting when the anterior pituitary produces excess growth hormone after closure of puberty state….often associated with gigantism
Why is it important to provide a stress dose of corticosteroids for patients with autoimmune disorders on chronic therapy?
b\c they are susceptible to cardiovascular collapse b\c they cannot release endogenous cortisol in response to stress
What age group does acromegaly most affect?
middle aged men and women
Acromegaly is a ________ disorder.
metabolic
Acromegaly causes an increase of the production of what hormone?
growth hormone
What are common signs and symptoms of acromegaly?
enlargement of hands, feet, head, forehead, jaw, and tongue
Do patients with acromegaly always require a larger ETT?
No
What is the affinity of carbon monoxides for Hgb compared to oxygen?
200x greater
What portion of the pediatric body in the rule of nine is greater compared to adults?
head
In a burn patient, at what point should you avoid succinylcholine?
after 24 hours
T/F? You can assume that a burn patient with a pulse oximetry reading of 100% is adequately oxygenated.
FALSE
What is the first line treatment for HTN in the phechromocytoma patient prior to surgery?
alpha blocker
Is bradycardia indicative of a thyroid storm?
no; but hyperthermia, metabolic acidosis, abnormal LFT’s, and atrial fibrillation is
T/F? Careful airway assessment is vital in hypothyroid, but not as important in hyperthyroid.
FALSE
Which endocrine disorders are associated with sensitivity to paralytics?
cushings, addisons, hypothyroid, hyperthyroid