We are fucked

Question 1

what are the risk factors for DI?

Answer 1

trauma, kidney disease, medications, infection, cancer,

Question 2

what the risk factors for SIADH?

Answer 2

vasopressin, NSAIDs, autoimmune, cancer, and pulmonary issues

Question 3

what are the symptoms for DI?

Answer 3

polyuria…greater than 3L, polyphagia, polydipsia, signs of dehydrations…..hypotension, tachycardia, weak thready pulse, poor skin turgor

Question 4

what labs will be run for DI

Answer 4

BMP- hypernatremia, hypokalemia, high bun and creatining

Urine specific gravity will be low

24 hour urine

Question 5

what are the symptoms of hypernatremia?

Answer 5

decreased LOC, headache, thirst

Question 6

What are the symptoms for SIADH

Answer 6

Oliguria, crackles in the lungs, signs of hypervolemia, hypertension, bounding, pulses, distended, neck, veins, hyponatremia…. nausea, vomiting, headache, fatigue, drowsiness, decreased LOC, and seizures

Question 7

What labs will you run for SIADH?

Answer 7

BMP – hyponatremia, hyperkalemia, high bun, and creatinine

Urine specific gravity- high

24 hour urine

Question 8

What are the treatment options for fixing diabetes insipidus

Answer 8

Vasopressin…don’t give to heart patients patients…can cause hypervolemia

Question 9

What non-medical things should a nurse be watching for in DI and SIADH patients

Answer 9

Intake, output, and daily weights

Question 10

What are the medical interventions for SIADH

Answer 10

Fluid restriction to 500 to 1500 ML’s

Diuretics

3% hypertonic saline

Question 11

What precautions are SIADH patients on

Answer 11

Seizure

Question 12

L what are the risk factors for Addison’s disease?

Answer 12

Auto immune disease, TB infection, trauma surgery

Question 13

What are the symptoms of Addison’s disease?

Answer 13

Hyperpigmentation/vitiligo, week, weak, pulses, hypotension, hyponatremia, hypoglycemia, hypercalcemia, hyperkalemia, metabolic acidosis

Question 14

What diagnostics are ran for Addison’s disease?

Answer 14

 BMP, cortisol levels, and ABG

Question 15

What are the treatment options for Addison insufficiency?

Answer 15

Fluids with dextrose, prednisone, hydrocortisone

Question 16

What caused an addisonian crisis?

Answer 16

Abrupt withdrawal of steroids, trauma, infection, stress

Question 17

What is the treatment for addisonian crisis?

Answer 17

Hypertonic, fluids, steroids, electrolyte replacement, glucose, insulin, bicarb, if necessary

Question 18

What are the risk factors for Cushing?

Answer 18

Steroid use, females age 25 to 45

Question 19

What are the symptoms of Cushing’s disease?

Answer 19

Moon phase, Buffalo hump, trunk, obesity, hypertension, insomnia, hirusutism(hairy), increase risk of fractures, increase risk of infection and increase bleeding time

Question 20

What happens to the electrolyte balance in Cushing’s

Answer 20

, hypokalemia, hypocalcemia, hypernatremia, and hyperglycemia

Question 21

What precautions do you take in Cushing’s patients?

Answer 21

Sun, infection, exposure, sodium intake, bleeding, precautions, and skin precautions

Question 22

What are risk factors for hypothyroidism?

Answer 22

Auto immune, cancer, surgery, hyper thyroid treatment, trauma, infections, women, iodine deficiency

Question 23

What do you keep in mind for hypothyroid symptoms?

Answer 23

All symptoms are low and slow

Question 24

What treatments are available for hypothyroidism

Answer 24

Levothyroxine

Question 25

What should you keep in mind when giving levothyroxine

Answer 25

Take the medication early in the morning on an empty stomach, may cause tachycardia, and watch patients taking insulin

Question 26

What can you do for patients with hypothyroidism?

Answer 26

Give oxygen, warm, IV, fluids, maintain airway, high fiber, diet,

Question 27

What are risk factors for hyperthyroidism?

Answer 27

Graves’ disease women,too much iodine

Question 28

What to keep in mind for symptoms for hyperthyroidism

Answer 28

High and fast

Question 29

What are the treatment options for hyperthyroidism?

Answer 29

Proplythirouracil, methimazole, and radioactive iodine

Question 30

What do you keep in mind when administering proplythiouracil

Answer 30

Avoid sick people and monitor for liver toxicity

Question 31

What to keep in mind, when administering methimazole

Answer 31

Report signs of hypothyroidism and liver toxicity

Question 32

What do you keep in mind when taking radioactive iodine

Answer 32

Use different toilets and flush with lid down at least three times

Put body fluids in radioactive bag

No sharing utensils

Wash clothes separately

Avoid contact with pregnant women

Isolation. For two more weeks.

Low iodine… Avoid shellfish and salt

Question 33

What surgical procedure is used for hyperthyroidism thyroid?

Answer 33

Thyroidectomy

Question 34

What to do with your thyroid ectomy patients?

Answer 34

Administer levothyroxine, monitor for hemorrhage, monitor for thyroid storm, monitor for hypocalcemia due to damage to parathyroid, put in semi-Fowlers

Question 35

What causes a thyroid storm?

Answer 35

Uncontrolled hyperthyroidism, surgery, infection, trauma, DKA, palpation of goiter

Question 36

What are symptoms of thyroid storm?

Answer 36

High, fever, severe, hypertension, tachycardia

Question 37

What is the treatment for thyroid storm?

Answer 37

Give patent airway, give anti-thyroid medication’s give iodine, give, beta blockers, cardiac monitoring, cooling

Question 38

What is the cause of myexedema edema coma?

Answer 38

Uncontrolled hypothyroidism, acute illness, surgery, discontinuing thyroid replacement

Question 39

What are symptoms of myxedema coma

Answer 39

Respiratory failure, severe hypotension, hypothermia, hypoglycemia, hyponatremia

Question 40

What is the treatment for myxedeam coma

Answer 40

IV. Levothyroxine, glucose, hypertonic, fluids, maintain airway.

Question 41

What are the risk factors of hypoparathyroidism?

Answer 41

Removal of parathyroid glands, and autoimmune

Question 42

What are the symptoms of hypoparathyroidism?

Answer 42

Hypocalcemia…. Tingling and numbness of mouth and hands, muscle cramps, tetany, seizures, LOC changes, positive Chvostek and troussea

Question 43

What are the diagnostics for hypoparathyroidism?

Answer 43

Serum calcium levels will be low
phosphorus will be high
Ultrasound of the gland

Question 44

What are the treatment options for hypo parathyroid?

Answer 44

Calcium, gluconate, oral, vitamin D, magnesium sulfate

Question 45

What diet do hypoparathyroidism patients need?

Answer 45

Avoid milk, yogurt and processed cheese

Encouraged dark, leafy greens

Encourage dairy such as cottage cheese, blue cheese, feta, and Parmesan

Question 46

What are the risk factors for hyperparathyroidism?

Answer 46

Parathyroid, tumor, neck, trauma

Question 47

What assessment findings will you find in a hyperparathyroidism patient

Answer 47

Hypercalcemia… fractures, renal, calculi, osteoporosis, cardiac arrhythmias

Question 48

What labs and diagnostics do you do for a hyperparathyroid patient

Answer 48

Calcium will be high phosphorus, will be low, ultrasound, the parathyroid gland

Question 49

What operation do you do for a hyperparathyroid patient?

Answer 49

Parathyroidectomy

Question 50

What medication will a hyperparathyroid patient take

Answer 50

Diuretics and calcitonin with large amounts of isotonic fluids

Question 51

What diet will a hyperparathyroid patient be on?

Answer 51

Dair, whole grains, and nuts, and anything processed

Question 52

What are the symptoms of hyponatremia?

Answer 52

Nausea, vomiting, headache, fatigue, drowsiness, decrease, seizures,