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PEDS - Nicole > Week 6 - Endocrine > Flashcards

Week 6 - Endocrine Flashcards

1
Q

Physical assessment - Look (3)

A
  • Skin
  • Weight
  • Tanner staging
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2
Q

Physical assessment - Listen (2)

A
  • HR

- Bowel sounds

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3
Q

Physical assessment - Palpate (2)

A
  • Abdomen

- Skin

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4
Q

Condition of low or no T4

A

Congenital Hypothyroidism

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5
Q

S/s of Congenital Hypothyroidism

A
  • bulging fontanelles
  • lethargy/fatigue
  • brittle hair and nails
  • dry skin
  • constipation
  • umbilical hernia
  • protruding tongue
  • prolonged jaundice in newborn period
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6
Q

How can you diagnose congenital hypothyroidism?

A

Newborn screening

-Increased TSH or low/normal T4

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7
Q

Treatment for Congenital Hypothyroidism

A

Daily Synthroid

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8
Q

What do you need to check for a child on daily synthroid?

A

Check TSH and T4 at every well-child visit

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9
Q

DM Type 1 definition

A

Immune-mediated insulin deficiency

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10
Q

DM Type 2 definition

A

Insulin resistance and failure that results in complete insulin deficiency

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11
Q

S/s of Type 2

A
  • Acanthosis nigricans
  • Ketonuria
  • recurrent infections
  • increase in thirst and urination
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12
Q

Acanthosis Nigricans

A
  • velvety thickening and darkening of skin

- found on back of neck / skin folds

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13
Q

Diagnosis of Type 2

  • Fasting glucose
  • Random glucose
  • Oral glucose tolerance
A

Fasting glucose > 126
Random glucose > 200 with symptoms
Oral glucose tolerance > 200

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14
Q

General DM diagnosis

  • Fasting
  • Random glucose
  • Hgb A1C
  • What is present?
A

Fasting glucose > 126
Random glucose > 200
Hgb A1c > 6.5
Antibodies present

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15
Q

Treatment for Type 1

A

INSULIN

  • Rotate sites
  • SQ
  • Goal is to maintain glucose in normal range (90-130)
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16
Q

What should you always do with insulin injection?

A

Count to 5 after injection to ensure med enters

17
Q

When do you do urine ketone testing?

A
  • during illness

- glucose > 240

18
Q

DM nutrition considerations

A
  • timing of consumption needs to be regulated and correspondent to the insulin prescribed
  • total cals should be consistent
  • extra food with exercise to prevent hypoglycemia
  • avoid high sugar and carbs to prevent hyperglycemia
19
Q

Hypoglycemia blood glucose

A

< 70

20
Q

Hypoglycemia treatment

A
  • FLUIDS
  • IM Glucagon
  • Feed once they’re awake
21
Q

DKA

A

Life threatening metabolic acidosis

22
Q

DKA symptoms

A
  • 3Ps
  • abdominal pain
  • n/v
  • fruity breath
  • Kussmaul’s
  • mental status change
23
Q

DKA treatment

A
  • fluids
  • insulin
  • sugars q hr

PEDS - Nicole (8 decks)

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