click below
click below
Normal Size Small Size show me how
NPTE endocrine
Question | Answer | |
---|---|---|
Gaves | hyperthyroidism | ex intolerance palpitations tachycardia heat intol fatigue |
Addison's | Adrenal insufficiency | dec. cold tol dec. endurance weak bronze wt. loss |
Cushing's | excess cortisol by adrenal cortex (or meds) | muscle atrophy, obesity,moon face, edema inc risk of infection, HTN, dec. bone density |
Insulin | dec. glucose | |
glucagon | inc. glucose | |
DM dx | fasting glucose >126 random plasma glucose >200 w/ polydipsia, polyuria, polyphagia | |
Diabetic ketoacidosis | usu. type I after illness ketones in urine | |
DM type II | inc. glucose production, dec. insulin production, inappropriate glucagon secretion | |
hypoglycemia early sx: | <70 mg/dL - rapid dizzy poor coordination, unsteady gait fatigue, weakness faint tachycardia, palpitations sweating shaky pallor excessive hunger | |
hypoglycemia late sx: | late sx: nervous/irritable HA blurred or double vision drowsy confusion LOC coma | |
Hypoglycemia response: | give sugar If unresponsive - Immediate medical attention | |
Hyperglycemia | >300 - gradual weak, inc. thirst, dec appetite, n/v abdominal tenderness dry mouth freq. scant urination dulled senses, paresthesias flushed deep, rapid respirations pulse: rapid, weak fruity breath hyperglycemic coma | immediate medical tx |
Ex precautions for DM | hypoglycemia do not ex if glucose <70 or >300 blunted BP, HR incompetencies - use RPE avoid ex 2-4h after insulin injection | |
Hashimoto's | Autoimmune Hypothroidism | cold intol possible ex intol weakness atrophy ex induced myalgia dec. CO, BP |