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Which insulin is given at bedtime and has no peak?
Hint: It should not be used with other insulins
What is Lantus (Glargine)?
This med must be stopped 48 hours prior and 48 hours after an exam that uses IV contrast dye
What is Metformin (Glucophage)?
Note: patient should also be assessed for allergies to dye.
Cr and BUN should be assessed as well. Damaged kidneys cannot process the dye/contrast out of the kidneys.
Institute aspiration precautions, IV
hypertonic saline (for edema)
Administer levothyroxine IV,
IV glucose,
corticosteroids, assess hourly temp,
keep the client warm, monitor LOC
and electrolytes/ glucose.
These are interventions for which disorder?
What is Myxedema?
Semi Fowlers with head and neck supported by pillows to prevent muscle strain.
Watch out for hypocalcemia (remember S/S)
Monitor for stridor
Monitor dressing
What are precautions post Thyroidectomy?
SSKI methimazole
Sodium or potassium
Iodide
Beta blockers
Propylthiouracil
Irradiation
Thyroidectomy are all treatment for this disorder?
What is treatment for Thyroid storm?
It is important to taper this drug because if you don't the pt. may experience "Addisonian crisis".
What is prednisone?
What are some of the potential side effects of Synthroid and what other disease process does this mimic?
What is irritability, tachycardia, diarrhea, sweating, and weight loss?
Maintain open airway
and proper ventilation, give antithyroid meds, beta blockers, and glucocorticoids, monitor vitals,
Monitor EKG for dysrhythmias for this disorde
Provide cool and non-stimulating environment.
What is treatment for Thyroid storm?
Moon face
Truncal obesity
HTN
Hyperglycemia
Purple discoloration
Hypokalemia are S/S of _____________?
What s Cushing Disease?
Acute adrenal insufficiency
Assessment: severe Hypotension, shock,
severe lower back, abdominal and leg pain.
Severe headache.
Interventions: prepare to administer glucocorticoids IV,
hydrocortisone succinate. Then oral glucocorticoids and mineralocorticoids.
Monitor BP and neuro status, monitor I&O,
monitor sodium, potassium, and glucose.
IV fluids, bed rest and quiet environment.
Prevent infection.
What is Addisonian Crisis?
When is Inderal or Metoprolol used to treat an Endocrine disorder and how does it work?
Thyrotoxicosis
Thyroid Storm
it blocks the stimulation of beta 1 and beta 2 adrenergic receptor sites. - It decreased heart rate, BP, suppresses arrythmias, and prevents an MI.
What are some long-acting insulins?
Lantus or Levemir
Autoimmune disease
Risk factors: Infections such tuberculosis, HIV, or fungal infections.
Hemorrhage into the adrenal gland
Autoimmune disease
Infections such
tuberculosis, HIV, or fungal infections.
Hemorrhage into the adrenal gland
What is Addison Disease?
Remember the "Hs".
Hyperkalemia
Hypotension
Hypoglycemia
Hyperpigmentation
Take this med early morning before breakfast.
Levothyroxine?
Sudden, severe hypersecretion of Thyroid hormone that if left untreated can be life threatening.
Clinical manifestations: HTN, Fever, tachycardia and agitation
What is thyroid storm?
What are some of the possible side effects for propylthiouracil (PTU)?
The most common is a rash, and the serious are agranulocytosis, hepatic necrosis, liver failure, and nephritis.
Also watch out patient can have adverse side effects and show s/s associated with hypothyroidism such as weight gain, bradycardia and constipation etc.
Tachycardia
tremors
Sweating
Confusion are S/S of __________?
What s Hypoglycemia?
What is the dosage for Synthroid?
The typical dosage is 75-125 mcg/day
True or False
Sick patents need to check their BS more often
True
TSH is high and T3 and T4 are low
What are labs for hypothyroidism?
A patient asks you how long they can keep their insulin on the shelf your answer is __________.
What is 30 days?
Remember once insulin vial is open, nurse can use it for 30 days only.
It is a synthetic thyroid hormone that increases cellular metabolism and plays an important role in growth, development, CNS and bone functions, food metabolism and body temperature.
What is the mechanism of action of Levothyroxine?
Dehydration
Weight loss
Elevated Sodium
Decreased urine Specific gravity are S/S of this disease
What Diabetes insipidus?
Hyperkalemia
Hypotension
Hypoglycemia
Hyperpigmentation are the symptom of _______?
Addison Disease.
What is the action of tapazole and propylthiouracil and what condition are these drugs used to treat?
They inhibit the synthesis of thyroid hormones and are used to treat hyperthyroidism.