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Complex Care > Week 7 THURS > Flashcards

Week 7 THURS Flashcards

adult metabolism

1
Q

A nurse is developing a teaching plan for a client w/ diabetes mellitus. A client w/ diabetes mellitus should…

A

wash and inspect feet daily

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2
Q

What would be included in the teaching plan for a client diagnosed w/ diabetes mellitus

A

an elevated by concentration contributes to complications of diabetes, such as diminished vision

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3
Q

Hypocalcemia is associated w/ what manifestation

A

muscle twitching

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4
Q

what medication is the choice for thyroid replacement therapy

A

levothyroxine (synthroid)

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5
Q

Before getting consent what allergy is alarming to the nurse

A
  • shrimp and shellfish allergy
  • usually has similar ingrediants to iodine
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6
Q

Where should the nurse inject insulin in..

A

the abdomen

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7
Q

Metabolic disease characterized by hyperglycemia

A

diabetes

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8
Q

What type of diabetes is the absolute lack of insulin

A

type 1

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9
Q

What type of diabetes has an alteration in insulin production, use, resistance

A

type 2

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10
Q

Common manifestations of hyperglycemia

A
  • 3 P’s> polyuria, polydipsia, polyphagia
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11
Q

Absence or significantly inadequate amount of insulin
- characterized by hyperglycemia, dehydration and electrolyte loss, and acidosis

A

DKA

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12
Q

What is the first thing to do for a pts with DKA and HHS?

A
  • restore fluid/ electrolyte loss
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13
Q

common s/s of DKA

A
  • kussmal resp
  • acetone breath> fruity
  • orthostatic hypotension
  • dehydration/ e;ectrolyte loss
  • hyperglycemia
  • acidosis
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14
Q

What type of insulin should be given to a patient w/ DKA/HHS

A

Regular insulin ONLY!!

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15
Q

What electrolyte tends to become shifted with trying to replenish and maintain intravascular fluid volume

A

Potassium> K+

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16
Q

What to caution/ watch for with giving K+ due to low value

A
  • watch cardiac status
  • too much K+ can cause heart arrhythmias
17
Q

HHS is characteristic of ….

A
  • type 2 diabetes
  • relative insulin deficiency
  • initiated by illness
18
Q

Priority nursing assessment on the pts when on insulin drips

A
  • hypoglycemia
  • fluid/ electrolyte imbalnce
  • fluid overload
  • cerebral edema
  • rapid correction of hyperglycemia
  • fluid shift
19
Q

Not enough or lack of TSH condition

A

Hypothyroidism

20
Q

Too much TSH condition

A

Hyperthyroidism

21
Q

s/s of hypothyroidism

A
  • fatigue
    lethargy
  • wt gain
  • deep voice
  • dry skin
  • cold intolerance
22
Q

Hypothyroidism treatment

A
  • levothyroxine (Synthroid)> synthetic TSH
23
Q

s/s of Hyperthyroidism

A
  • anxious
  • restless
  • irritable
  • fine tremors
  • tachycardia
  • palpatations
24
Q

Hyperthyroidism treatment

A

radioactive iodine

25
Q

Too much TSH released acutely can lead to…

A

thyroid storm

26
Q

S/S of thyroid storm

A
  • cardiac arrhythmias
  • fever
  • neurologic impairment
  • heart failure
  • circulatory collapse
  • high bofy temp
27
Q

Treatment for thyroid storm

A
  • beta blockers
  • thyroidectomy
28
Q

Disorder with dysfunction in the feedback loop causing insufficient production of steriods

A

Addison’s disease

29
Q

Treatment for Addison’s disease

A

corticosteriods

30
Q

Risk factors for addison’s disease

A
  • TB and histoplasmosis
31
Q

s/s of addisons disease

A
  • increased retention of K+
  • deficiency in extracellular fluid
  • decreased cardiac output
  • hypoglycemia
  • muscle weakness
  • lethargy
  • Gi symptoms; anorexia, n/v, wt loss
  • hyperpigmentation of skin/mucous membranes
32
Q

Treatment for addison’s disease

A
  • hormone replacement therapy
  • adjust(increase) doses with illness and stress
  • exogenous glucocorticoids/ corticosteroids
  • Take with meals/ antacids> decrease GI s/s
  • increasing activity tolerance
  • restoring fluid balance

Complex Care (26 decks)

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