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32 Cards in this Set

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