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39 Cards in this Set

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nursing interventions of HYPOthyroidism.
regular pill scheldule
monitor for chest pain, tack
monitor improve in energy
signs of hormaol exacerbations or deficit.
yearly check up.
range for Ca is
9-11
Treatments for HYPERthyroidism
hydrate with 3-5L
walking, decrease CA
Report Gi disturbances, Iv phosphate, Ns infusion and loop diuretic-Calsiton(only2x)
with cushings, increase of what and decrease of what
clucocorticoids minercorticoids
decrease
ACTH
with addison's decrease of ___ increase of ?
glucocorit
minercorticoid
increase
ATCH and MSH
stimulate activity in the NS, regulates metabolism of fats protein
T3-T4
stimulates kidneys to resorb water from urin in tubules
ADH
stimulates liver to convert glucogen into glycose
glucagon , pancreatic islets
increases in blood cal concentrations, decrease in blood phosphate
PTH (parathyroid)
Affects glucose metabolism, influences metabolism of fats and proteins.
cortisol(cortex)
the parathyroid disorder hypoparthyroidism causes what>
hypocalcemia
what diet is importatnt for hypoparathyroidism
hi ca, low K (omit milk-it is high in K)
Vit D
Calcium suppliments
hypoparathyroidism interventsion
increase fluids do to stones
limit foods hi in Ca and K
increase mobility
surgical removal of gland
with hyperthyroidism give what drugs
PTU, Methimazole, lugois
do not use asprin when controling fever associated with what>?
hyperthyroid
use what to control throid storm
inderal,
what is another name for addisons disease
hypoadrenalism
cause of addisons disease
prolonged steriod use.
disease of adrenal cortex.
lab studies show what with addisons (hypoadrenalism)
HYPO GLYCEMIA
HYPO NATREMIA
HYPER KALEMIA
interventions with Hypoadrenalizm (addisons ) are
glucocorticoids.Prednisone
Mineralcorticoids.(florinef)
What nursing diagnosis do you look for with addisons
Risk for injury related to fluid volume deficit.
what is another name for hyper adrenalism
Cushings disease
cushings results in the labs to show what>?
hyper natremia,
hypo kalemia,
hyper glycemia
a diet with cushings would be
dec sodium, can have potassium, decrease in calories and saturated fats. Increase protein.
a diet with a person with adisons would be
increase sodium, dec potassium, small frequent feedings to prevent hypoglycemia.
nursing diagnosis with cushings would be altered nutrition related to electrolyte imballance
altered nutrition related to electrolyte imballance
adrenals release what>
epinephrine and norepinephrine.
the bronzing of the skin is seen in what disorder
addisons
what tests result in decrease calcium
chvostecks
acromegaly is caused by what?
hyperfunction of the pituitary.
meds for acromegaly include
parlodel-suppressed GH
with transphenoidal microsurgey with acromegaly, what do you assess for>
CSF leak
what do you not do for a pt who has had a microsurgry for acromegaly disease?
No o2 on. could cause coughing or sneesing do not blow out fat pad.
what drugs are used with hyperthroidism?
proplthiourcil,
tapizole,
lugols
nursing interventions for thyroidectomy are
bleeding and airway
What do the parathyroids do/
maintain calcium and phospherus homeostasis.
nomral Ca labs are
9-11
hyperparathyroidism is an excessive amount of what?
PTH
hydrate
encourage walkting to move Ca
decrease Ca in diet.
iv phosphate
Ns infusion. for what
hyperparathyroidism