Medications
An intermediate acting insulin
NPH
Heat intolerance, weight loss and protruding eyeballs are signs of:
Hyperthyroidism
Name a symptom of hypoglycemia
Sweating, Hunger, Shakiness, Flushed face, Anxiety, and Rapid heartbeat
After you treat a patient who is hypoglycemic, what is the next step to take?
Recheck blood sugar in 15 minutes and treat if below 70
These drugs must be tapered to prevent acute adrenal insufficiency
Corticosteroids
A medication used to treat hypothyroidism
Levothyroxine/Synthroid
High phosphate and low calcium are signs of
Hypoparathyroidism
Name a potential complication of Cushing's syndrome
hypokalemia, fluid volume overload, weight gain, high blood sugar
The nurse taps on a patient's cheek to see if there is a facial twitch. They are assessing for:
Hypocalcemia/Tetany-- Chvostek's sign
The peak of long lasting insulin
There is no peak
What to give an unconscious patient who is hypoglycemic
Glucagon or IV 50% dextrose
Name 3 symptoms of hyperglycemia
polydipsia, polyuria, polyphagia
What is a PC of taking metformin with contrast?
Lactic acidosis
A patient with hyperthyroidism should be encouraged to have a __protein, ____calorie diet
high
In hypothyroidism, T3 and T4 levels will be _____
Low
What is the onset of short acting insulin?
30-60 minutes
Name 2 s/s hypothyroidism
lethargy, bradycardia, weight gain, cold intolerance
Name labs that will be HIGH in patients with Addison's
Potassium, calcium, WBC, BUN/creatinine
A pt's blood sugar is 53 but they are alert and asymptomatic. What should the nurse do?
Give 15 grams carbs
Which insulin should be drawn up first: NPH or regular?
Regular
What are the 2 examples of thionamides used to treat Graves
methimazole and PTU
Name 2 signs/symptoms of myxedema
decreased RR, hypotension, bradycardia, hypothermia, hypoNa+, hypoglycemia
Name 2 potential complications from post-thyroidectomy
Hemorrhage, storm, airway obstruction, nerve damage, hypocalcemia/tetany
What do you need to monitor for Addison's ?
Fluid volume deficit, electrolytes (esp K+), glucose levels
What position should a client be in s/p thyroidectomy
Semi-fowlers