Med Surge ENDOCRINE review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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DM-1, pt. teaching re: alcohol consumption | show 🗑
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show | decreased
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how many fat exchanges should be substituted for every alcoholic beverage? | show 🗑
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alcohol will [increase or decrease triglyceride] levels? | show 🗑
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proper procedure to draw insulin glargine (Lantus) and regular insulin | show 🗑
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show | cool, clammy skin
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show | <180 mg/dL
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bedtime blood glucose level reference range | show 🗑
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show | 90 - 130 mg/dL
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show | increase weight
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propylthiouracil (PTU) is given to ___ thyroid hormone | show 🗑
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propylthiouracil (PTU) causes an [increase or decrease] in diaphoresis | show 🗑
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propylthiouracil (PTU) causes an [increase or decrease] bowel movements | show 🗑
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propylthiouracil (PTU) causes an [increase or decrease] in appetite | show 🗑
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show | dilutional hypoNATREMIA
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show | - examine skin/feet daily
- monitor temp of bath water w/thermometer
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show | late
[when feet are slightly swolen]
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[brady or tachy] cardia - expected finding of diabetes insipidus | show 🗑
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hematocrit level will [increase or decrease] in pt. with diabetes insipidus | show 🗑
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increased urine output leads to... | show 🗑
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show | increase
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show | avoid palpating abdomen
[decrease risk for CVA]
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Laryngeal stridor is a? | show 🗑
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show | in the morning on an empty stomach to promote proper absorption
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vanillymandelic acid test, pt. needs to restrict? | show 🗑
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show | Blood Glucose
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in Thyroid Storm - Beta 2 Blockers (eg. Propranolol) is given to | show 🗑
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proper administration of metered dose spray - pt. should... | show 🗑
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What is? Acute adrenal insufficiency... | show 🗑
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show | replace cortisol deficiency
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Cortisol is a? | show 🗑
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Cortisol's functions - | show 🗑
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The primary adrenal insufficiency disease is? | show 🗑
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show | glucose levels over a 3-month period
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Target goal of HbA1C test is | show 🗑
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Hyperthyrodism - symptoms | show 🗑
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T3 - reference range | show 🗑
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T4 - reference range | show 🗑
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show | 0.4 to 6.15 microunits/mL
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Cushing's Disease - symptoms | show 🗑
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show | MOM'S SO TIRED
M Memory loss
O Obesity
M Malar flush/Menorrhagia
S Slowness
S Skin and hair become dry
O Onset is gradual
T Tired
I Intolerance to cold
R Raised blood pressure
E Energy levels are low
D Depressed
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show | fatigue, joint pain, muscle stiffness, muscle tenderness, or fever
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Steroid meds should be taken... | show 🗑
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show | Altered Response to Physical Stress
Infection
GI Ulcers or Bleeding
Osteoporosis
Weight gain
Insomnia
Mood Changes
Fluid Retention
Elevated Blood Pressure
Elevated Blood Sugar
Cataracts or glaucoma
Atherosclerosis
Aseptic Necrosis (Muscle wast
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Adenocorticotropic Hormone (ACTH) test is most definitive for which diease? (Elevated levels) | show 🗑
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show | morning - 25 to 200 pg/mL
evening - 0 to 50 pg/mL
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show | Cushing's Disease
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show | 10 to 100 mcg/day
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show | usually at midnight
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Salivary cortisol - reference range | show 🗑
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Hyperglycemic-hyperosmolar state - reference ranges | show 🗑
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Hyperglycemic-hyperosmolar state - symptoms | show 🗑
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Hypocalcemia - symptoms | show 🗑
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Hypocalcemia - reference levels | show 🗑
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show | MISHAP
M Malignancy
I Intox of Vitamin D & A
S Sarcoidosis
H Hyperparathyroidism
A Alkali Syndrome
P Paget’s Disease of Bone
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In adrenal insufficiency, calcium levels may be? | show 🗑
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Fasting blood glucose - level | show 🗑
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show | <140 mg/dL
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show | - NPO for 8 hrs prior to test
- Antidiabetic meds postpone until after test
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Oral blood glucose - test prep | show 🗑
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show | increased urination/thirst is an indication of need for another dose
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