Sugar, Sugar
This disease process involves profound hyperglycemia > 800 mg/dL, dehydration and electrolyte imbalance.
What is HHS or HHNK
This hormone is synthesized in the hypothalmus and stored in the posterior pituitary gland
Elevated stress results in elevated levels of this adrenal hormone
What is cortisol
This hormone affects growth processes throughout the body
What is growth hormone (GH)
Normal range for this electrolyte is 8.4-10.2 (approximately)
What is calcium
This insulin typically has a 30 minute-1 hour onset and 2-4 hour peak.
What is regular insulin
This disease process involves production of dilute urine > 6L in 24 hours, hyperosmolarity (serum), and hypernatremia.
What is DI (diabetes insipidus)
What is hyponatremia, hypoglycemia, bronzed skin, hypotension, weight loss, etc. (Addison's disease)
This disease process results in weight loss, heat intolerance, irritability, and insomnia.
What is hyperthyroidism
Dialysis and drug-overdoses put a patient at risk for this acid-base imbalance
What is metabolic acidosis
What is DKA
Post-op interventions for this procedure include keeping nasal passages moist and limiting forceful coughing/sneezing.
What is hypophysectomy
When a patient is taking this medication for treatment of Addison's disease, the nurse instructs the patient to not abruptly stop taking the medication for risk of acute adrenal insufficiency.
What is glucocorticoids or mineral corticoids
This disease process results in weight gain, cold intolerance, fatigue, and constipation.
What is hypothyroidism
A hyperfunctioning pituitary gland results in large facial features and tall stature due to the increase in this hormone and is called by this name.
What is growth hormone and acromegaly/gigantism
These ABGs indicate what acid-base imbalance (include compensation):
pH: 7.25
pCO2: 32
HCO3: 14
This disease process involves oliguria with concetrated urine, decreased osmolarity (serum), and hypovolemia.
What is SIADH
This disease process results in excess adipose tissue around the trunk/abdomen, thin arms and legs, hyperglycemia and hypertension.
What is Cushing's syndrome
Post-operative concerns for this procedure include monitoring for a patent airway, frequent dressing assessments, and trending of electrolytes (specifically calcium).
What is thyroidectomy or parathyroidectomy
This disease process results in diffuse pulmonary capillary permeability resulting in refractory hypoxemia and subsequent fibrosis
What is acute respiratory distress syndrome (ARDS)
The nurse's first intervention from the following orders for a DKA patient would be:
-0.1 units/kg regular insulin IV bolus
-0.9% NS 2L bolus over 2 hours
-Initiate electrolyte replacement protocol
What is 0.9% NS 2L bolus
The nurse knows which clinical manifestations differentiate DI from SIADH (two answers):
-amount of urine output
-alteration in ADH function
-serum osmolarity
-presence of pituitary tumor
What is 1) amount of urine output and 2) serum osmolarity
Key nursing diagnoses for a patient with Cushing's syndrome include what?
Disturbed body image, anxiety, risk for hyperglycemia, disturbed metabolic process, obesity, etc.
A post-operative thyroidectomy patient demonstrates the following ABGs. The nurse analyzes them to be what acid-base imbalance (include compensation)?
pH 7.33, pCO2 54, HCO3 23
Uncompensated respiratory acidosis
Clinical manifestations of this electrolyte imbalance include constipation, EKG changes such as a prolonged QT, Nausea and abdominal cramps, lethargy, and confusion.
What is hypercalcemia