Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
37 Cards in this Set
- Front
- Back
|
Excessive secretion of the thyroid hormone, causing increased metabolic rate, increased cardio function, increased GI function, increased neuromuscular function, weight loss,and heat loss is?
|
hyperthyroidism
|
|
|
If body has enough thyroid hormone, the pitutitary gland will?
|
tell thyroid to not make anymore. if pituitary gland has problems, it could tell thyroid to excrete too much
|
|
|
The most common disease that causes hyperthyroidism is?
|
graves disease
|
|
|
What is the complication of hyperthyroidism when the levels of thyroid hormone are extremely high???
|
thyroid storm
*** major sign is the high marked temp of 105-106 |
|
|
What are other clinical manifestations of a thyroid storm?
|
high high fever
tachycardia systolic HTN heart failure shock nausea/vomiting agitation/confusion, seizures |
|
|
What would we do for pt with thyroid storm?
|
airway
meds for lowering thyroid levels cardiac monitor for dysrrythmias vitals, IV fluids Cooling blanket |
|
|
What must we teach pts with hyperthyroidism about their eyes (most present with exophthalmoses)?
|
Regular eye exams
report changes in vision use tinted glasses, moisten eyes sleep with head of bed elevated to decrease pressure on optic nerve |
|
|
In hyperthyroidism, a pt's heart?
how would a pts activity be? |
might have decreased cardiac output because it is beating so quickly
may have some activity intolerance b/c of muscle wasting |
|
|
What would happen lab value wise in the body if the parathyroid was removed with the thyroid?
|
hypocalcemia -decrease in Ca
|
|
|
If a pt goes into hypocalcemia, pt could also have hypoglycemia?
|
yes!
|
|
|
What should you monitor for pt after a thyroidectomy or partial?
|
Numbness, tingling, voice quality-dyphonia (langeal nerves), dysphasia, and signs of HYPOCALCEMIA
|
|
|
What are the signs and symptoms of hypocalcemia?
|
Tetany (involuntary muscle spasm)
Parencentesis Grimacing Muscle aches lab value |
|
|
What is the medical emergency complication of hypothyroidism?
|
Myxedema
|
|
|
A pt comes in with hypothyroidism and you notice he/she has a very puffy face, periorbital edema, and mask like face, this could be?
|
Non pitting edema from accumuation of hydrophilic mucopolysaccharides, called myxedema. can lead to mxydema coma and death
|
|
|
Mxyedema is usually caused by?
|
a precipitating disease like infection or stroke or stopping thyroid meds
|
|
|
What are the signs and symptoms of a pt with myxedema?
|
LOW BP
Hypoventillation hypothermia-low temp hypoatremia- low calcium respiratory failure hypoglycemia |
|
|
what is low Na in body called?
|
HYPONATREMIA
|
|
|
How serious is myxedema?
|
VERY SERIOUS- 100% MORTALITY RATE UNLESS RECOGNIZED PROMPTLY
|
|
|
What glands maintain calcium and phosphate homeostasis?
|
parathyroid glands
|
|
|
So calcium and phosphate always move in opposite directions because of parathyroid hormone. So what would an increase in parathyroid do?
|
Increase tubular reabsorption of calcium, decrease phosphate in blood
|
|
|
In bone, an increase in partathyroid hormone will do what to calcium and phosphate?
|
releases calcium and phosphate into blood, causing bone decalcificaiton
|
|
|
hyperparathyroidism causes what in the bones?
|
decalicification
|
|
|
Hyperparathyrodism causes hypercalcemia, which causes all sorts of what problems?
|
ca depositis in soft tissues, renal calculi, altered LOC, muscle weakeness, atrophy, altered GI function, constipation, ABD pain, anorexia, altered cardio function
|
|
|
What are the primary causes of hyperparathyroidism?
|
Directly effecting the parathyroid.
Cancer, genetics, hyperplaisa-increase normal tissue one gland is unresponsive to feedback |
|
|
What lab decrease would cause the parathyroid to go into hyperparathyroidism?
|
in a response to hypercalcemia(low calcium)
|
|
|
Hyperplastic glands of the hyperparathyroid eventually developing indenpendent function and not responding to calcium corrretion is what type of hyperparathyroidism?
|
terchiary
|
|
|
Older pt with hyperparathyroidism are high risk of?
|
FALLS! (DECALCIFICATION OF BONES)
|
|
|
Hypoparathyroism causes?
|
hypocalcemia
|
|
|
IF there is a decrease in Ca, we should also check what lab value?
|
the magnesiu,
|
|
|
Do we have a replacement hormone to parathyroid pt?
|
NO NO FAKE PARATHYROID HORMONE.
|
|
|
what kind of pts would we see mostly in the hospital with sydrome of inappropriate anti diruetic hormone (SIADH)?
|
older pt, CNS trauma
|
|
|
What position would help a pt in SIADH?
|
NOT FOWLERS, THIS WOULD NOT HAPPEN. INCREASE IN VASCULAR SPACE
|
|
|
When would it be appropiate to give lasix? (prob wont have high salt content in SIADH)
|
when serum sodium level is more than 125
|
|
|
What would be a good intervention for a pt with a feeding tube with SIADH?
|
instead of giving them free water, give normal sailine to replenish some salt
|
|
|
LOC is not?
|
orientation
LOC is hard to arouse |
|
|
A deficincy in the production or secretion of ADH is?
|
Diabetes insipidus-getting rid of water. similar s and s of DM
|
|
|
What kind of solution would we give pts with diabetes insipidus?
|
a hypotonic solution-IV D5W
|
