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67 Cards in this Set

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gigantism
etio
~incr secretions of growth hormones in childhood
gigantism
S/S
~proportional body growth in all body tissue (esp long bones)
~weak, clumsy
~8-9'
gigantism
TX
~radiation
~chemo drugs
~removal of pit gland
dwarfism
etio
~decr secretion of growth hormones during childhood
dwarfism
S/S
~retarded symmetrical physical growth
~premature body aging process
~slow intellectual development
dwarfism
TX
~removal of tumor
~GH injection
diabetes insipidus
etio
~decr secretions of ADH d/t damage of post pit gland
~trauma, tumor
diabetes insipidus
S/S
~polyuria (3L/Hr)
~polydypsia
~dehydration
~spec gravity 1.005
~urine very clear/diluted
diabetes insipidus
meds
~DVAVP (Desmopressing Acetate), naso-spray
~Vasopressin Tamate (IM, SQ)
~Hypressin (Nasospray)
diabetes insipidus
NI
~dont restrict fluids
~avoid food w/diuretic type action
~I&O
~wts
~specific gravity
addison's dz
etio
~decr secretion of adrenal cortex hormones
~slow insidious onset
addison's dz
S/S
~slow insidious onset
~general weakness
~hypotension
~incr pigmentation of skin
~wt loss
~loss of libido
~hyponatremia
~hyperkalemia
addison's dz
TX
~lifelong steroid replacement (Florinef)
~high protein, carbs
addison's dz
NI
~observe 4 addisonian crisis d/t stress, infec, surg, trauma
~observe 4 S/E of meds
~if ankles/feet swell, tell MD 2 decr Florinef dose
acromegaly
etio
~hyper/incr secretions of growth hormones that occur in adulthood
acromegaly
meds
~parlodel
~bromocriptine
acromegaly
S/S
~lg hands/feet
~thickening/protrusion of jaw/orbital ridges
~coarse features
acromegaly
TX
~radiation (for tumors)
~removal of pit gland
cushing's syndrome
etio
~incr secretion of glucocorticoids
cushing's syndrome
S/S
~central type obesity
~moon face
~buffalo hump
~obese trunk
~thin extremities
~masculine features
~mood swings
~acne
~amenorrhea
~hypertension
~hyperglycemia
cushing's syndrome
TX
~adrenalectomy (remove adrenal gland)
~chemo drugs (Parlodel)
~high protein, low carb, low Na
~K supp
~steroid replacements w/antacids
cushing's syndrome
NI
~protect 4m infec/trauma
steroid replacement
purpose
~antiinflam enables tolerate high degree of stress
~used in crisis (shock/bronchial obstruction), long-term therapy (leukemia, arthritis)
~give w/antacids 2 prev peptic ulcers
~lowers immunity
steroid replacement
S/E
~moon face
~abnormal distribution of body fat
~wt gain
~peptic ulcers
~hyperglycemia
~osteroporosis
~mass infec
steroid replacement
NI
~Lg doses
~8am/morn
~taken @ same time qD
~taper w/drawl
~give w/antacids
cretinism
etio
~decr secretions of thyroid hormone during childhood
cretinism
S/S
~severe phy/ment retardation
~dry skin
~coarse dry hair
~constipation
~poor appetite
~sensitivity 2 cold
cretinism
TX
~hormone replacement (AM)
myxedema
etio
~decr secretion of thyroid hormone in adulthood
myxedema
S/S
~slow metab
~depression
~prone 2 constipation
~slow systems
~sensitivity 2 cold
~sensitive 2 narcotics/sedatives
~gen edema
~gen weakness
hypoparathyroidism
etio
~decr secretion of parathyroid hormones
myxedema
NI
~prov warm environment
~fluid
~low cal, low chol, low fat
~no sedatives/narcotics
~synthroid (mon HR >60)
~dessicated thyroid (Thyrar)
~give all meds on empty stomach
grave's disease
etio
~hyperthyroidism
~thyrotoxicosis
~incr secretions of thyroid hormones
grave's disease
S/S
~jittering
~cardiac arrhythmias
~incr metab
~exopthalamus
~wt loss
~diarrhea
~heart intolerance
~hypertension
~insomnia
hypoparathyroidism
S/S
~Acute: incr neuromuscular irritability
~Chronic: mental retardation, poor develop of tooth enamel, lethargic
grave's disease
TX
~radioiodine
~drugs
~thyroidectomy
grave's disease
drug tx
~antithyroid meds
~methemazole (tapozole)
~propythiouracil (PTU)
~iodides (lugol's solution)
~sat'd solution of K (SSDI) iodide
hypoparathyroidism
TX
~Acute:calcium gluconate
~Chronic: oral Ca, Vit D
grave's disease
NI
~prov rest
~cold climate
~high cal, high carb, high prot
~no caffeine, stimulants
~daily wts
thyroidectomy
~removal of thyroid gland (full/part)
~POST:semi-fowlers
~check dressing @ back of neck
~Complications:tetany (chostek, trousseau), thyroid storm
hypoparathyroidism
NI
~prov quiet rm
~no stimulus
~assess 4 incr s/s of muscular irritability
~Ca gluconate @ bedside
~Ca not reabsorbed w/o vit D
thyroid storm
~check w/in 12hrs
~all hormones suddenly released, qThing is elev
~spiking fever (106)
~tachycardia
~delirium
~irritability
hyperparathyroidism
etio
~incr secretion of parathyroid hormones
~Ca deposited in blood
~prone 2 kidney stones
hyperparathyroidism
S/S
~bone deformities
~susceptible 2 frac
hyperparathyroidism
TX
~surgery
hyperparathyroidism
NI
~strain all urine
~force fluids
~low Ca (no milk/cheese)
~prev constipation
diabetes mellitus
etio
~chronic dz of carb metab categ by imbalance btwn insulin supply/demand
ketoacidosis
causes
~lack of insulin
~infec
~stress
ketoacidosis
tx
~reg insulin IV
insulin
intermediate
~NPH
~lente
~onset: 1-2hrs
~peak: 7-12hrs
~duration: 24-30hrs
insulin
rapid-acting
~regular
~semilente
~onset: 0.5-1hr
~peak: 2-4hrs
~duration: 6-8hrs
diabetes mellitus
S/S
~polyuria
~polydypsia
~polyphagia
~wt loss
ketoacidosis
S/S
~polyuria
~thirst
~N/V
~dry mucous membranes
diabetes mellitus
TX
~hypoglycemics
~insulin
hyperglycemic hyperosmolar nonketotic coma (HHNK)
S/S
~extremely high glucose level
~no ketones
diabetes mellitus
type I
~<30yrs
~pancreas (no insulin prod)
~insulin dependent
~juvenile onset
~prone 2 DKA
insuline
long-acting
~protamine zinc
~ultralente
~onset: 4-6hrs
~peak: 18+ hrs
~duration: 30-36hrs
hyperglycemic hyperosmolar nonketotic coma (HHNK)
insulin pump
~external device that prov vaso dose of reg insulin w/bolus dose b4 meals
diabetes mellitus
drug tx
~tolbutamide (orinase)
~chlorpropamide (diabinase)
~glyburide (micromase)
diabetes mellitus
type II
~>30
~obesity
~oral hypoglycemics or insulin
~stim pancreas 2 make more insulin
~pt w/DKA, mon s/s 4 Kussmal resps
hyperglycemic hyperosmolar nonketotic coma (HHNK)
teaching
~daily ft care
~diabetic neuropathy
~always wear shoes
~diet
~exercise
~meds
when mixing insulin
~draw up regular first
~then draw up NPH
hepatitis A
~fecal-oral contact
~S/S:flu-like, upper resp infec, HA, malaise, jaundice, dark urine, liver tenderness
~NI:enteric precautions, bed rest, low fat, fluids, drug therapy, low vit (b12)
~PREV:good snitation
hepatitis B
~percutaneous/oral exposure 2 blood of infec persons
~S/S:flu-like, HA, malaise, jaundice, dark urine, liver tenderness
~NI:enteric precautions, bed rest, low fat, fluids, drug therapy, low vit (b12), blood precaution
~PREV:mandatory screening of donors
~standard precaution
~enteric precaution (gloves/gown)
~no sharing utensils
~Tx but not cured
hypoglycemia
causes
~decr dietary intake
~excess insulin
~tachycardia
~diaphoresis
~tremors
~weakness
~irritability
~confusion
hypoglycemia
tx
~hard candy
~soda
~OJ
lipodystrophy
~defective metabolism of fat
~no cold insulin; roll btwn hands 2 warm
~indurated areas of SQ tissue d/t injecting cold insulin or nt rotating sites