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27 Cards in this Set
- Front
- Back
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Cushings Syndrome
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Putitury gland releases too much ADTH (cortosol in blood)
Moon Face, hyperglycema,, Gynecomastia, increase BP , Buffalo hump, dependant edema, Hirsustim, osteoporosis, dependent edema, susceptbility to infection |
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Causes acidosis
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Hopoventilation
Drug OD, DKA Airway Obstruction, chest trauma Pulmonary edema Renal Failure, sepsis ASA OD, Severe Diarrhea |
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Addisons Disease
Adrenocortical Insufficiency |
Bronze skin, body hair
Hypoglycena/post. hyptension muscle weakness/anorexia lethargy/fatigue/anemia |
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Hypoglycemia (TIRED)
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TIRED
T tachy. I Irritability R restless E excessive hunger D diaphoresis/depression |
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Triangle of Diabetes mgt.
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Exercise/meds/diet
Wtih glucose /monitoring and medication |
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Blood Sugar Mnemonic
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Hot dry= sugar high
cold & clammy= needs some candy |
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DM Classifications
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Type 1 no insulin produced
Type 2 Insufficient Insulin Pro. Gestational: during preg Mature onset: impared insulin production |
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DM 3-p's
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Polyphagia
polydipsia polyurina fatigue/ increse UTI |
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Hypothyrodism
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cold intolerance
hair loss/rededing hairline Facial & eyelid edema Extreme Fatigue Thick tounge/slow speech dry skin/brittle nails and hair anorexia constipation/muscle cramps |
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Hypothrodism
late s/s |
subnormal temp
bradycardia weight gain decrease LOC Thickened Skin Cardiac complications |
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Hyperthyrodism
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heat intolerance
enlarged thyroid/ tachycardia increase BP Fine straight hair Bulging eyes Clubbing fingers weight loss/muscle wasting amenorrhea legs localized edema |
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Diabetes Insipdus
Anti-diuretic Hormone |
Treatment: vasopressen
DDAVP S/S: 20/ml urine day decrease specific gravity hypovolumeia increased thurst tacycardia/ dcrease BP |
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Diabetes Insipdus
Nursing care |
Monitor fluids
Repace fluids check neuro status check vital signs check mucus membranes |
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Hyperpituitary
Agromegaly |
Diagnosis:
increase Serum Somatotropin (growth hormone) X-ray/MRI/physical exam Oral glucose challenge test, (level does not drop) |
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Agromegaly S/S
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enlarged pitutary gland
Increased BP HA/visual disturbance Slanting forhead enlargement small bones hand hypertrophy of tongue/skin/visural organs Course facial fetures |
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Exercise guide for DM
(FIT) |
F: frequency
Regular 3-4 times week I: intensity 60-80% of max HR Rate |
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DKA
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lask of insluin/Febrile illness/GI upset
Onset 4-10 hours fruity breath/Kussmal Resp Tachy/hypotensin/acidosis high blood sugar/ over 240 Hyperkalemia Polyurea polyurea |
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Treatment for DKA
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Hydration
Insulin Electrolyte Replacement |
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Hypoglycema
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Rapid onset 1-3 hrs
low blood sugar cool,clammy skin anxious/diaphertic confused/blurred double vis shaky/irritable |
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Causes of Hypoglycemia
(triangle) |
Insufficient Food
Excess exercise Excess Insulin |
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Type 2 Diabeties
(causes) |
Sedentary life style
familial Tendency Obese/ average 50 y old Hx high BP decrease fatigue low energy Recurrent infections Polydisa/ FBS greater 126 |
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Hyperkalemia S/S
K+ |
muscle twitches/cramps/
paresthesia Irritability& anxiety Dysrhythmias Abd cramping/diarrhea Flat P wave/wide QRS/ prolonged PR Low BP/low urine output |
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Potassium (K+) in
ACIDOSIS |
Potassium goes UP
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DM Type 1 S/S
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3P's/polyuria/dipsia/phagia
weigh loss/fatigue increase frequency infection Rapid onset Insulin dependent Familial Tendency Peak incidence 10-15 years |
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Hurtisim
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excessive body hair
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Cretinism
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Lack of thyroid hormone/
Thyroxine Lack of Iodine |
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Graves Disease
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Over active thyroid
buldging eyes tachycardia thick red skin/shins and feet weight loss/insominia |
