Medications
This is the only type of insulin that can be given IV
Regular insulin
overgrowth of facial features
Acromegaly
Patients with diabetes should always carry this in case of hypoglycemia
A quick source of glucose
a chemical substance produced and secreted that exerts a physiologic controlling effect on other cells
Hormone
HgA1C 14%
Diabetes
Levothyroxine
What disease has slowed growth, constipation, sleepiness, fatigue
hypothyroidism
Give 15g of carbohydrates
Hypoglycemia (BG<60) in an alert patient
controls growth, development, and cellular metabolism. Secretes several hormones from the anterior and posterior parts
pituitary gland
A patient with a serum sodium level >/< 135-145 is at risk for what?
Seizures
Stop administration of this med when growth is <1in/yr and in bone age 14 in
female, 16 in male
Growth Hormone
This symptom of hypothyroidism is often caused by dietary deficiency of iodine
Goiter
Do not palpate this tumor as it may release catecholamines
Pheochromocytoma
short stature with proportional height. Delayed epiphyseal closure/dentition/sexual development
GH deficiency
24hr urine
Name one med used to treat thyroid storm
PTU, methimazole, propranolol
Ketonuria, pH<7.35, Kussmaul respirations
DKA
check urine for ketones q 3 hours or whenever glucose is > 240mg/dL, do not skip insulin. Notify provider if vomiting >1x or any of the above.
Sick Day Insulin management
retinopathy and nephropathy are examples of what?
microvascular complications of diabetes
low specific gravity, dilute urine. Serum hypernatremia.
Diabetes insipidus
hydrocortisone (solu-cortef) is the treatment for what?
Adrenal Crisis
Polyuria, polyphagia, polydipsia
symptoms of diabetes
A newborn with goiter is at high risk for this.
Airway compromise
This steroid hormone causes reabsorption of sodium, potassium, and water in the kidneys.
Aldosterone
Serum hyponatremia. Increased urine specific gravity.
SIADH