Hyperthyroidism
Diabetic Ketoacidosis
Hypoglycemia
Hyperglycemia
Hypothyroidism
HHS
Misc
100

The thyroid gland is the only gland that can be palpated. This is the correct way to palpate the thyroid gland.

What is by a HCP? 

Incorrect palpation can stimulate the thyroid gland to release TH and can cause a Thyrotoxic Crisis.

100

A very common side effect of DKA that is caused by excess buildup of ketones is an odor on the breath nurses describe as...

 What is Juicy fruit chewing gum smell or fruity breath?

100

Hypoglycemia is when blood glucose is under this number.

What is less than 70?

100

This test is used to diagnose diabetes and monitor diabetes control.

What is Glycohemoglobin A1C?

100

The primary hypothyroidism treatment is.


What is Thyroid replacement hormone? (levothyroxine: Synthroid)

100

HHS mainly occurs in this type of diabetes...


What is Type 2?

100

The normal fasting glucose level is this.

And diabetes is diagnosed when a fasting glucose level is this.

What is less than 100? And 200 for diabetes diagnoses.

200

The most common cause of hyperthyroidism is...


What is Graves’ disease?

200

This deep sighing respiratory pattern due to blowing off excess CO2 is called...


What are Kussmaul respirations?

200

This should be given to a patient to eat after a hypoglycemic episode is resolved.


What is a Complex carbohydrate and a protein?

200

The three P's that are S/S for hyperglycemia for type 1 and 2 diabetics.

What is polyuria, polyphagia, and polydipsia?

200

The primary cause of hypothyroidism is a failure of the thyroid to produce enough of this.

 What is TH? (thyroid hormone)

200

HHS stands for....

What is hyperosmolar Hyperglycemic state?

200

Name a short acting insulin and the peak, onset, duration and when to take it.

What are: Insulin lipspro (humalog), Insulin aspart (Novolog), Insulin glulisine (Apidra)?

Onset 15 mins, Peak 1-2 hrs., Duration 2-4 hrs.

Take it 15 minutes before meals.

300

 Two complications of hyperthyroidism.


What are Thyrotoxic crisis, hypothyroidism?

300

How DKA is confirmed.

What are ketones in urine and BG higher than 300?

300

This treatment can be given to a hypoglycemic patient that cannot swallow or unconscious.

What is Subcutaneous glucagon?

300

Describe how hyperglycemia occurs.

What is the ingestion of too many calories that the body has insulin to cover it or a stressor occurs that releases hormones that raise the BG?

300

Hyperthyroidism signs and symptoms that can only occur when caused by Graves’ disease are what?


What is bulging of the eyes & thickening of skin on legs?

300

This is how high has BG been recorded with HHS...

What is 1500?

300

This is the most dangerous complication with high blood glucose.

What is HHS?

Has a higher mortality rate and has less S/S than DKA.

400

Name at least two S/S of hyperthyroidism.

What are increased metabolic rate, heat intolerance,

and a high appetite w/ weight loss?

400

Explain how lack of insulin causes DKA.

What is the lack of insulin to move the glucose out of the blood and into the cells cause the cells to starve and the body to break down fat for energy that releases acids?

400

List the steps on treating a hypoglycemic patient that is alert.


What are: Give fast sugar, check BG in 15 mins, if the Blood glucose is less than 70 mg/dL, repeat the procedure 1 and 2, and if the hypoglycemic episode is resolved, give a complex carbohydrate.

If not resolved contact HCP.

400

List the hormones that raise BG levels.

What is epinephrine, cortisol, growth hormone, and glucagon?

400

Another common cause of hypothyroidism can be a deficiency of this..


What is Iodine?


400

Two S/S of HHS?

What are extreme thirst, lethargy, mental confusion, and dehydration?

400

The thyroid is located here and produces these hormones.

Where is the front of the throat below the larynx?

Thyroxine T4

Triiodothyronine T3

Calcitonin

500

 Two signs/symptoms of thyrotoxic crisis and at least Two treatments.


What is Fever, tachycardia, hypertension-hypotension, dehydration, restlessness?

TX:  Acetaminophen, cooling blanket, beta blocker, oxygen, head elevation

500

Treatment of DKA includes what and name an electrolyte that must be monitored carefully during treatment.


What are IV fluids, IV or subcutaneous insulin and BG monitoring?

 potassium must be monitored closely.

500

List the levels of hypoglycemia.

1. blood glucose under 70

2. Less than 54 and has neurological symptoms such as confusion.

3. AMS, unable to function due to extremely low BG and need another person's assistance.

500

The Somogyi effect.

What is high BG numbers in the morning after fasting from hormones being released d/t low BG in the night? (A rebound effect.)

500

 In advanced stage hypothyroidism, this can develop. and is described as...

What is myxedema? (is described as non-pitting edema of face, hands, and feet)

500

The nursing priority for HHS is...

What is rehydrating and lowering BG levels?

500

The pituitary gland is located here and produces these hormones. Name 3.

What is below the hypothalamus and these hormones: 1. TSH (Thyroid stimulating, Anterior pituitary)

2. GH Growth hormone (Anterior pituitary gland)

3 Oxytocin (Posterior pituitary gland) 

4 ADH Antidiuretic Hormone (posterior Pituitary gland))

                 3.

                  4.

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