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32 Cards in this Set
- Front
- Back
Hyperpigmentation
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Addisons disease or Cushings syndrome
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Hypopigmentation
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DM, hyperthyroidism, hypothyroidism
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yellowish skin cast
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hypothyroidism
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purple stria over abdomen and bruising
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Cushings syndrome
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rough, dry skin
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hypothyroidism
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smooth, flushed skin
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hyperthyroidism
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lesions on lower extremities
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diabetes
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increased pigmentation of nails
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addisons
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dry, thick, brittle nails and hair
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hypothyroidism
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thin, soft hair
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hyperthyroidism
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hirsutism
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cushings syndrome
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acromegaly
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hypersecretion of GH
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exophthalmos
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hyperthyroidism
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enlarged thyroid
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graves disease or goiter
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increased motor reflexes
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hyperthyroidism
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decreased reflexes
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hypothyroidism
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peripheral neuropathy and parsthesias
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diabetes, hypothyroidism, acromegaly
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dwarfism
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insufficient pituitary growth hormone
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extremely large bones
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acromegaly, excessive GH
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Is a goiter present in hypo or hyperthyroidism?
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both
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what is most common cause of hyperthyroidism
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graves and toxic multinodular goiter
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Treatment of thyroid crisis?
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cooling without aspirin, induce shivering, replace fluids, glucose, electrolytes
-relieve respiratory distress w/ 02 -stabilize cardiovascular function -reduce TH synthesis and secretion |
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What allergy would a nurse have to ask pt about before iodine therapy
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shellfish
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-palpitations
-SOB -fatigues easily -diplopia -nausea, vomiting -abdominal pain -flushed, moist skin |
hyperthyroidism
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How is myxedema coma treated?
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-maintain fluid, electrolyte, acid-base balance
-maintain cardiovascular status -increase body temp -increased TH levels |
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What is the treatment of choice of hypothyroidism?
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levothyroxine
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What medications does levothyroxine increase effects of?
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anticoagulants and digitalis
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What is the highest nursing priority in a patient with hypoparathyroidism?
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the risk for muscle spasm and convulsions
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What should a nurse educate a patient with hyperparathyroidism to do?
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-increase activity
-increase fluid intake up to 3 to 4 quarts -limit intake of milk |
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What would someone with Cushings syndrome need to increase intake of?
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protein, vitamin C and A
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When are corticosteroids contraindicated?
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infection is suspected, mask signs of infection
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What does a patient with Addisons disease diet adjustments include
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more protien and sodium, less potassium
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