Endocrine
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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| What are the thyroid hormones? | show 🗑
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| show | Moves calcium out of blood and back to bone. Decreases serum calcium.
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| What is needed to make hormones ? | show 🗑
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| What is the thyroids role in the human body? | show 🗑
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| show | Hyperthyroidism
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| Hyperthyroidism S&S | show 🗑
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| Hyperthyroidism Dx, and instructions. | show 🗑
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| What are anti thyroids, what do they do, when can they be given ? | show 🗑
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| What are the iodine compounds, actions, and teaching points ? | show 🗑
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| show | Propanolol ( inderal) --> decrease Anxiety
Decrease myocardial contractility, CO, HR, BP
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| show | Kills thyroid cells--> hypothyroidism
Give PO -> solution or tablet
Dont Kiss Anyone for 24 Hours, Stay away from babies for 24 hours!
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| show | Rebound effect from radioactive iodine,
hyperthyroidism X 100 --> Badddd
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| Thyroidectomy ( partial or complex) post op, positioning, nutrition assessment, teach. what needs to be at bedside ? | show 🗑
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| Thyroidectomy teach ? what needs to be at bedside any why ? | show 🗑
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| show | Hypoallergenic tape to shut eyelids--> prevent injury, irriation
Eye drops -> artificial tears
Sunglasses-> photosensitivity
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| What is Myxedema? | show 🗑
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| show | No energy
Fatigue
GI upset, Weight Gain
Cold intolerance
Slow speech, No expression
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| Hypothyroidism treatments and action short term ? | show 🗑
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| show | Parathormone ( PTH) hormone
Takes Ca from bone and puts in blood = increased serum Ca
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| Hyperparathyroidism Treatments | show 🗑
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| Hypoparathyroidism Treatments | show 🗑
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| show | Deal with stress
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| show | Adrenal cortex --> Salt, Sugar, Sex
Adrenal Medula -> epi and norepinephrine
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| Pheochromocytoma S&S Dx Tx | show 🗑
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| show | mineral0corticoids, glucocorticoids, sex hormones
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| show | Aldosterone -> Retain Na, H20 secrete K
too much -> FVE, Hypokalemia
too little, FVD, hyperkalemia
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| show | Mood changes - mean
depressed, insomnia,psychotic, euphoric
Insulin inhibited -->Hyperglycemia-> finger sticks
Altered defense mechanisms--> immunosuppressed--> infection
Break down Fats and Proteins
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| Sex Hormones | show 🗑
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| show | Not enough steroids, sugar, salt, sex.
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| Addison's S&S | show 🗑
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| Addison's Nursing Dx and Treatments and Drug * Crisis symptoms | show 🗑
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| show | To much steroid
Sugar thin extremitie, growth stunt, hyperglycemia, infectio truncal obesity, buffalo hump, moon face, psychosis, depression
Salt Retain Na, H2o, Hypokalemia, CHF, HTN, Weight gain, FVE
Sex poor libido, oily skin, female w/ mail traits
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| show | Cushings = Cortisol high
Addisons = Cortisol low
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| Pre treatment, what will be in their urine and Tx for Cushing's | show 🗑
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| Why do we increase Ca in Cushing's patient ? | show 🗑
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| show | No insulin or little to none, Type 1A vs Type 1B, Young, DKA, Abrubt
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| show | Polyuria --> too much glucose in blood, kidneys diurese
Polydypsia--> Kindeys diurese = Thirsty
Polyphagia--> Cells not getting glucose hungry so break down fat = ketones = DKA - Metabolic Acidosis
Insulin for life
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| Type II Diabetes insulin, onset, body characteristics, what is metabolic syndrome? | show 🗑
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| show | Diet/ Excersise/ Oral Hypoglycemics, Insulin
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| show | like type 2
mom needs 2-3 times more insulin
screen at 24 weeks or 1st visit if risk factors
big baby, hypoglycemic
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| show | complex carbs, fats, proteins ( 10-20%) at risk renal disease
High Fiber - > decrease glucose absobtion helps with peak/ fall may need to decrease insulin
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| show | Sugar destroys vessels.
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| When should a diabetic excersise, do before excersise-> why, routine ? | show 🗑
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| Who takes Oral Hypoglycemics ? What are they ? What do they do ? | show 🗑
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| show | body weight. 0.4-1.0 units/kg daily
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| How do we know if the insulin dose is sufficient? | show 🗑
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| Rapid acting Insulin | show 🗑
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| Short Acting ( Regular) | show 🗑
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| Intermediate Acting ( NPH) | show 🗑
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| show | Glargine ( Lantus)-> carb available
Onset 2-4 hours, No peak-> insulin steady, Duratioin 24 hours
Once daily Subq -
*monitor for hypoglycemia, hypokalemia, lipidostrophy
*Never mix with other inulin
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| show | * Intermediate Acting Insulin combined with either Rapid Acting or Short Acting (Regular) Insulin.
* All provide 24 hour duration.
* Monitor for hypoglycemia, hypokalemia, lipodystrophy.
* Always have oral carbohydrate available.
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| What is the only insulin that can be given IV | show 🗑
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| What is basal/bolus insulin dosing? Do they need snacks ? | show 🗑
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| show | Blood test monitors 3 months glucose levels
4-6% best
6.5 -> diabetic
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| show | Increases it
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| show | Rotate within site first then go to new site
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| show | alternative to daily dosing
only rapid acting
better control -> gives basal dose then boluses with meals and increase bs
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| show | Illness, stress, Not enough insulin.
Polyuria, Polydipsia, Polyphagia--> Fat breakdown- > Ketones-> Metabolic Acidosis --> Kussmaul's respiration --> blow of CO2 --> decrease LOC
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| Treatments for DKA | show 🗑
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| Hyperosmolar Hyperglycemic Nonketosis ( HHNK) Hyperglycemic Hypersmolar State ( HHS) | show 🗑
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| show | Poor circulation sugar damage vessels, lumen narrowed
Retinopathy -> Blindess
Nephropathy -> Renal damage
Nueropathy
Infection Risk
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| Nueropathy problems with diabetic | show 🗑
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| show | Shaking, Cool, Clammy, decreased LOC, headache, nervous, tachycardia
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| show | 4 oz juice, 4 glucose tablets,
once BS raised give complex carb -> peanut butter crackers
D50W --> hard to push give with Large IV Bore
Injectable glucogon --> when no Iv no access give IM
Fat
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| To prevent hyperglycemic/ hypoglycemic episodes teach | show 🗑
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Created by:
Emvilsaint
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