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Endocrinology

med emergenceis

QuestionAnswer
what hormones does the hypothalamus release to the anterior pituitary? GHRH and GHIH, CRH, TRH, GnRH, PRH and PIH
posterior pituitary releases what hormones and is stimulated by what from the hypothalamus? stimulated by nerve impulses from the hypothalamus that releases ADH and oxytocin
anterior pituitary hormones released? GH, ACTH, TSH, FSH, LH, PRL
what does DKAA stand for with symptoms for DKA? dry and high sugar (250-500+) ketones and kussmaul respirations abdominal pain acidosis metabolic pH <7.35
What does HHNS stand for according to symptoms for hyperosmolar hyperglycemia syndrome? highest sugar 600+ higher fluid loss and severe dehydration head change = AMS NO ketones -no acid- no kussmauls slower onset
according to ALS NREMT protocols, what is considered normal, hypoglycemia, and hyperglycemia? normal 80-120 hypo <70 hyper >140
what two main requirements are needed for insulin effectiveness? sufficient insulin circulating to satisfy needs and ability to bind to cells that allow adequate stimulation levels
Healthy kidney usually absorbs all glucose up to 180mg/dL but once sustained above this it starts releasing sugar into the urine = large molecules = water follows (tons of pee severe dehydration - non-hemorrhagic hypovolemic shock)- what is it called osmotic diuresis
round (moon) rosy face, buffalo hump, purple striae crushing's syndrome (hyperadrenalism)
hypoglycemia, abnormal distribution of body hair, postural hypotension, weight loss, profound fatigue, dehydration, vascular collapse (low BP), renal shutdown (decreased serum Na, increased potassium) □ Adrenal crisis: hypoT, bradycardic Addison's disease (hypoadrenalism)
Created by: Lindsey.George
 

 



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