Unit 4 Pillitteri

Question 0

Hypothyroid and pregnancy

Answer 0

Don't ovulate
Spontaneous miscarriage
Always cold
Obese
Low energy
Thyroid Meds increase 25% for pregnancy

Question 1

Reading

Answer 1

536-545
929-932
1420-1423
1427-1439

Question 2

Hyperthyroidism

Answer 2

(Graves Disease)
Rapid HR
Exopthalmos
Always hot
Nervous
Skinny

Question 3

Diabetes patho

Answer 3

Cells can't use GLU
Liver breaks down glycogen
GLU > 150 then kidneys excrete
Dehydration
Decreased oxygenation
Lactic Acid buildup 
Cells die

Question 4

Hyperthyroid meds

Answer 4

Takes 2 weeks
Olol first
Zoles
PTU
Teratogens and excreted in breast milk

Question 5

Hyperglycemia and Pregnancy

Answer 5

Insulin needs increase last trimester
Amniotic fluid increases
Increase infection/hypertension
Increased congenital anomalies/miscarriage

Question 6

Gestational diabetes Risk Factors

Answer 6

Obese
>25 yrs old
Macro babies
PCOD
Hispanic, Asian, N American

Question 7

Gestational assessments

Answer 7

Glu ingested, test at 60 min

If 2/4 fasting GLU during 3 hour test > 95 then diabetes

Question 8

HBA1C

Answer 8

Measure of GLU attached to HGB

Accurate for previous 4-6 weeks

Question 9

Exercise and Insulin

Answer 9

Don’t inject into muscle that will be exercised
Exercise causes GLU fluctuation for 12 hours
Eat before exercising

Question 10

Short term Insulin Administration

Answer 10

Eat directly after admin

Question 11

Insulin Ratios

Answer 11

2/3 given in the morning
2/1 breakfast
1/1 dinner

Question 12

Insulin pump need to know

Answer 12

Can’t get wet
Don’t leave off for > 1 hr
Initially wake up during the night to check

Question 13

Decrease eating strategies

Answer 13

Journal
Counseling for emotional response
Eat in one place
Set fork down after each bite

Question 14

PBI

Answer 14

Protein Bound Iodine

Question 15

Low PBI causes

Answer 15

Low albumin
Low Iodine
Dilauntin

Question 16

Congenital Hypothyroidism

Answer 16

Not present until 3 months with formula fed
6 months in breast fed
Linked to maternal hyperthyroidism
Girls 2x more

Question 17

Infant hypothyroidism decreases

Answer 17

Poor latch
VS
Short Thick neck
Muscle Tone

Question 18

Infant Hypothyroidism increases

Answer 18

Sleep
Enlarged tongue
Noisy respirations
Cold extremities
Lethargy

Question 19

Infant Hypothyroidism treatment

Answer 19

Gradually increasing Thyroxine
Vit D
Therapy

Question 20

Thyroxine admin

Answer 20

Crushed with food

Question 21

Hashimoto’s

Answer 21

10-11 yr onset
TSH increases to activate thyroid
Goiter occurs
\+ Radioactive iodine test confirms
- Signifies cancer

Question 22

Alternative Hyperthyroid treatments

Answer 22

Radioactive ablation

Thyroidectomy

Question 23

Four criteria for type 1 Diabetes

Answer 23

SS of diabetes
Random GLU > 200
Fasting >126
2 hour plasma GLU > 200 during Oral TT

Question 24

Other Helpful diabetes labs

Answer 24

HBA1C
PCO2
PH
WBC Elevated

Question 25

Acute diabetes procedure

Answer 25

Check policy on tubing
Room temp IV insulin 0.1-0.2 U/KG in NS
GLU to infusion if needed

Question 26

Rotating injection sites

Answer 26

Rotate within same site then move

No rotation causes scar tissue and less absorption

Question 27

Type 1 Diet ratio

Answer 27

55% Carb
15% Pro
30% Fat

Question 28

Honeymoon period

Answer 28

Pancreas begins producing insulin for 1-12 months but then fails again

Question 29

Chronic Hyperglycemia problems

Answer 29

Arteriosclerosis
Infertility after 35
Eye problems
Kidney disease