Diagnosis (or become a doctor)
The lady from last jeopardy game is back. (The same one who complained about the uncomfortable lobby couches.) She states that she urinates a lot and is losing weight unintentionally. Do you suggest for her to get her blood sugar level tested?
Yes. (Unless you still can't let go of the ridiculous complaint from last time.)
How does the endocrine system help with the fight-or-flight reaction?
It pumps adrenaline into the bloodstream.
Which of the following is not a sign or symptom of Diabetic Ketoacidosis?
What is oliguria?
All the following are treatments for myxedema coma EXCEPT?
What is hypotonic IV solutions
Name the classic elements of Addison's Disease.
What are increased secretion of aldosterone & cortisol
A man states that he has been losing weight. You ask him some questions and he mentions he works out a lot. Do you suggest to get his blood sugar level tested?
Most likely not necessary. The lost weight is a result of intentional work.
What can cause damage to insulin-producing cells (diabetes type 1)
Immune system fighting an infection
Which patient is MOST likely to develop Diabetic Ketoacidosis?
Which of the following patients are MOST at risk for developing myxedema coma?
A 55-year-old male with a history of diabetes who is insulin dependent
Who is the
What causes Hashimoto's Thyroiditis?
Cancer or malignancy which causes the auto-immune attack on the thyroid gland
A girl comes and her mother claims that she has been getting VERY hungry and eats a lot, but is always tired and thirsty. Do you get the blood sugar level tested?
Yes
What does insulin do?
Insulin helps blood sugar enter the body's cells so it can be used for energy
When priming the tubing for an Insulin infusion it is best practice to waste 50cc to 100cc of insulin before starting the infusion because insulin absorbs into the plastic lining of the tubing.
True or False
What is True?
Which of the following is NOT a cause of myxedema coma?
What is
What happens in Cushing's Disease or syndrome?
Increase in the production of cortisol hormone
You are officially a certified doctor if you can answer this. (maybe) Define the difference between type 1 and type 2 diabetes.
Type 1 diabetes - insulin producing cells are destroyed and don't produce enough insulin
Type 2 - unresponsive to insufficient insulin (more connected to obesity and more common in adults)
Name the gland that produces insulin.
Pancreas
What type of insulin do you expect the doctor to order for the primary treatment of DKA?
What is IV Regular Insulin
What are Signs and Symptoms of myxedema coma?
Bone chilling hypothermia, bradycardia,
low Na+ levels, low glucose levels
In a patient presenting with Addisonian Crisis, what would be the treatment of choice?
IV Solu-Cortef & Corticosteriods.
A teenage girl comes up and explains that she urinates a lot. You ask a few questions and she mentions that she goes and gets her Starbucks (if you must know, an Iced Caramel Macchiato because yes) 5 times a day. What do you do?
How does diabetes affect the endocrine system?
it alters the production and function of hormones that regulate metabolism.
A patient is admitted with DKA. The physician orders intravenous fluids of 0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and then starts an insulin drip per protocol. The patient’s labs are the following: pH 7.25, Glucose 455, potassium 2.5. Which of the following is the most appropriate nursing intervention to perform next?
What is hold the insulin and notify the doctor of the potassium level of 2.5?
What is the preferred treatment for Myxedema coma?
hormone replacement: IV Synthroid & Corticosteriods
Overproduction of (T3 , T4) accelerates the SNS..usually too much Aspirin, glucose, Iodine, and untreated Grave's disease...etc.