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58 Cards in this Set

  • Front
  • Back
The role of the posterior pituitary gland includes
Maintain osmolality of body fluids and stimulate uterine contraction
One of the roles of the thyroid gland is to
Influence the normal respiratory response to hypoxia and hypercapnea
Exerts its effects on the liver
Hormones of the anterior pituitary are
ACTH , thyroid stimulating hormone, growth hormone
Glucocorticoids secreted by the adrenal cortex will
Produce an anti-inflammatory effect
Hypocalcemia will lead to the release of
Parathyroid hormone
The role of the adrenal cortex gland includes the regulation of extracellular fluid, inflammatory response, and metabolism
The release of insulin is inhibited by all the following except somatostatin , oxytocin, nor epinephrine, epinephrine.
What is the role of the pancreas
Modulates all aspects of cellular nutrition
Which gland does the anterior pituitary regulate
Thyroid, adrenal cortex, ovaries and testes
When blood levels of T3 and T4 are too high the – inhibits the production of TSH
Anterior pituitary
Thyroid hormones are regulated through a positive feedback loop
Hypoglycemia will stimulate the production of
Epinephrine and norepinephrine are secreted from
Adrenal Medulla
What is the effect of epinephrine on Insulin
It can make cells resistant to endogenous and Exogeneous insulin
What are three indicators of Addisonian crisis
Hypotension, hyperkalemia, and hypoglycemia
Moon face is a classic symptom of
Cushing's syndrome
The hallmark sign of hypoparathyroidism is
Mixedema coma, is the result of
Insufficient or absent thyroid function
Signs and symptoms of SIA DH are related to
Fluid overload and hyponatremia
Type I diabetes is associated with
Absolute insulin deficient
The lowest level of serum cortisol occurs
What is the effect of epinephrine on insulin
You can make the cells resistant to endogenous and Exogenous insulin
Hyperglycemia in the critically ill patient is defined as
BG >200
Hyperglycemia in the critically I'll patient needs to be managed to prevent
Increased risk of thromboembolic events
Point of care blood glucose testing analysis requires a normal value of
Generally in hyperglycemic critically ill patient, blood glucose levels are tested
Hourly until stable for 6 to 8 hours, then every two hours
Cushing syndrome characteristics
Full, flushed face; thinning hair; muscle wasting
Typically, treatment for the patient with Addisonian crisis involves administration of
Vasopressors and IV fluid
Addison's disease is first detected
When physical or emotional stress occurs
The etiology of Cushing's syndrome is described by all but which of the following: damage to adrenal cortex. Pituitary adenoma. Exogenous steroids. Hypersecretion of ACTH
Pituitary adenoma
The patient with severe hyperparathyroidism may present with seizure and laryngospasms
Which of the following is not part of the recommended treatment for Mixedema coma: Levothyroxine. Glucocorticoids. Respiratory support with a ventilator. Therapeutic hypothermia
Therapeutic hypothermia
Myxedema coma is the result of
Insufficient or absent thyroid function
What is the most common cause of hypothyroidism
Autoimmune thyroiditis
Critically high T3 and T4 levels confirm the diagnosis of Thyrotoxic crisis
Symptoms of thyrotoxicosis
Hypertension, nervousness, weight loss, chest pain
In a thyrotoxic storm, laboratory values of T3 and T4 will be extremely elevated making diagnosing the crisis more apparent
Which lab profiles would you expect to see for your patient with diabetes insipidus
Elevated serum osmolality 385. Decreased urine specific gravity 1.004. Elevated serum sodium 148.
When ADH is produced from sites other than the posterior pituitary resulting in excess of hormone, it may cause
Medication such as hypoglycemic's, tricyclic antidepressants, narcotics, and anesthesia are known to be a contributing factor to the development of SIADH
Performing neurological checks is a priority nursing assessment for the patient with SIADH
As you care for a patient with the oat cell carcinoma, you should alert the MD that the patient is developing symptoms of SIADH when you receive the following lab values
Decreased serum sodium 118, urine specific gravity 1.035, decreased Hgb/Hct 9.1/27.1
Hypoglycemia results with lack of medication lack of eating sufficient amount of calories or increase in exercise. Which med, metformin or insulin and at what level of blood glucose do symptoms occur
Insulin. Symptoms usually seen when BG < 60
This condition is characterized by severe hyperglycemia, hyper osmolality, and dehydration
Hyperglycemic hyperosmolar nonketonic syndrome. HHN
DKA occurs most commonly in patients with
Type I diabetes
DKA patients present with
Polyurea, polydipsia, headache, hypotension, Kussmaul respirations, fruity breath
What type of medication given for diabetes acts by suppressing hepatic glucose production and increasing the uptake of glucose by the peripheral Tissue
Biguanides (metformin)
What type of medication given for diabetes acts by stimulating the beta cells of the pancreas to release insulin
Sulfonylureas (glipizide)
What type of medication given for diabetes acts by decreasing the ability of enzymes in the intestinal tract to metabolize carbohydrates
Alpha glucosidase inhibitors
Metformin, a Biguanide, functions to
Decreases hepatic glucose production and increases peripheral tissue sensitivity to insulin
What type of medication for diabetes acts by enhancing insulins action by increasing the cell receptors, which respond to exogenous and endogenous insulin
Assessment findings the patient with adrenal insufficiency may also mimic many other conditions
What assessment findings most indicative of low levels of aldosterone/mineralcorticoid
Hypotension and hyperkalemia 5.3
Laboratory test for parathyroid function include serum calcium and serum phosphorus values
This test measures the pituitary glands ability to synthesize and secrete ADH. It helps distinguish between a neurogenic and nephrogenic cause of diabetes insipidus
Vasopressin stimulation test
these labs help assess pancreatic function
Glycosylated hemoglobin, serum and urine ketones, serum glucose
Hallmark sign of hypoparathyroidism