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30 Cards in this Set
- Front
- Back
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need ______ to make hormones. thyroid hormone gives us energy |
iodine |
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hyperthyroid Graves disease: too much energy s/s |
nervous weight gain sweaty hot exophthalmos low attention span increased appetite irritable fast gi increased b/p heart problems bigger thyroid |
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amiodarone an antiarrythmic contains iodine may affect |
thyroid fxn |
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d/c iodine containing drugs for ________ before thyroid scan |
1 week |
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hyperthyroid tx |
antithyroids iodine compounds in milk/juice straw beta blockers blocks surg of epi not for asthmatics diabetics radioactive iodine-destroys thyroid cells watch for thyroid storm |
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hyperthyroid sx |
thyroidectomy give tapazole preop to stun thyroid post op no tension on incision no reaching hob elevated look for bleed behind neck hoarsness weak voice tx report pressure keep trache at bedside eye care important |
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hypothroidism myxedema at birth called creatinism watch for newborn s/s |
no energy fatigue slow gi increased wt cold slow slurred speech no expression |
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hypothyroid tx |
take synthroid for life tend to have CAD get EKG |
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hyperparathyroid-hypercalcemia-hypophos Sedated s/s |
too much ca serum ca up serum phos down |
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hyperparathyroidism tx |
partial parthyroidectomy out 2 PTH secretion down ca down look for hypocalcemia |
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hypoparathyroidism-hypocalcemia-hyperphos not sedated s/s |
not enough PTH low ca high phos |
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hypoparathyroidism tx |
iv ca phos binding drugs |
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cortisol is a hormone of the __________ _______ |
adrenal cortex |
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increased ACTH=increased |
cortisol level |
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too many steroids= |
hypercortisolism |
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aldosterone: retain _____ &_____ loose K |
sodium and water |
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too much aldosterone |
fluid vol excess and hypokalemia |
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not enough aldosterone |
fluid vol deficit and hyperkalemia |
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addisonian crisis |
severe hypotension and vascular collapse |
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cushings |
too much steroids steroids decrease serum ca by excreting it through gi tract |
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diabetes type 1 |
little or no insulin first sign dka appears abruptly have to have insulin |
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diabetes type 1 s/s |
polyuria -think shock first polydipsia -thirst polyphagia-hunger treat with insulin |
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diabetes type2 s/s |
overwt metabolic syndrome-abd obesity increased triglycerides decreased hdl increased b/p CAD treat with lifestyle chgs |
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diabetic pt illness= |
DKA in type 1 metabolic acidosis |
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ideal HbAc is |
4-6% or less |
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HbAc of _____ is dx of diabetes |
6.5-7% |
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________ insulin is only one given in iv fluids or infusion |
regular |
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_______________ is only one given via subQ insulin infusion pump |
rapid acting "log" |
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hypoglycemia is glucose level of _____ or less |
70, give D50W unconcious give sugar and fatty foods give milk juice honey under tongue |
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type 1think ___________ type 2think___________ |
DKA HHNK (no acidosis, no ketones, no kussmauls) |
