It's complicated
Not a drop to spare
Water, water everywhere
It could put you in a
grave
grave
So soft and cushy
Medicate me!
100
Two differences between DKetoAcidosis (DKA) and Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNKS)
What are
1) degree of insulin deficiency (greater in DKA)
2) degree of fluid deficiency (greater in HHNKS)
100
Excess of this substance (without normal physiologic stimulation)
What is Antidiuretic Hormone? (ADH)
100
Classic signs of DI
What are polydipsia and polyuria?
100
The type of disease that GD is, resulting in stimulation of the thyroid gland
What is autoimmune?
100
Cushing Disease is caused by excessive pituitary secretion of this
What is ACTH?
100
I'm at my best before breakfast
Levothyroxine
200
Retinopathy Nephropathy Neuropathy
What are microvascular changes to capillaries?
200
The pathophysiology of
What is increased water reabsorption by the kidneys?
200
Nephrogenic DI is caused by inadequate response by the _________ to ADH
What are the kidneys?
200
Term for edema of orbit with protrusion of globe
What is exophthalmos?
200
Most common feature of Cushing Disease, influenced by increased cortisol levels
What is weight gain?
200
I have many types to get it just right
Insulin:
Regular, Humalog, NPH, Glargine
300
The common comorbidities associated with Type 2 DM
What is:
Atherosclerosis
Hypertension
Systemic Inflammation
300
The pathophysiology causes serum Na levels to
What is decrease?
300
The pathophysiology of DI
What is the inability to concentrate urine?
300
Three signs of Graves Disease
What are
1) weight loss 5) exophthalmos
2) thin hair 6) hyperreflexia
3) heart failure 7) sweaty palms
4) pretibial edema 8) diarrhea
300
Acne, moon face, easy bruising, trunk obesity
What is clinical manifestations of CD?
300
I will put a stop to the madness
Propylthiouracil or
Methimazole
400
Hemorrhagic stroke is more common than ischemic stroke in those with DM (True/False)
What is False?
400
Treatment for this includes fluid __________
What is restriction?
400
The pathophysiology causes serum Na levels to _________
What is increase?
400
Lifelong need as a result of treatment with radioactive iodine
What is thyroid replacement therapy?
400
Cause of CD for most people
What is ACHT-secreting pituitary microadenoma?
400
I will pluck you from the depths of unconsciousness
Sugar for hypoglycemia
500
This action significantly reduces complications of diabetes mellitus
What is strict control of blood sugar?
500
Poorly controlled syndrome can cause irreversible __________
What is neurologic damage?
500
Serious, untreated DI can cause this
What is circulatory collapse / shock?
500
Graves Disease causes normal regulatory mechanisms to be overridden by abnormal causing?
What is hyperthyroidism?
500
The percent of those with CD experiencing mental status changes
What is 50%?
500
Voted best overall for fighting the traffic
glucocorticoids
600
The most deadly side effect of insulin injection
What is hypoglycemia
600
Nursing assessment of this includes?
What is:
I&O
fluid balance assessment
Electrolyte levels
600
Nursing assessment for this includes?
What is:
I&O
fluid balance assessment
Electrolyte levels
600
The best time to administer levothyroxine
30 min before breakfast
600
Iatrogenic induced Cushingoid symptoms
What is caused by glucocorticoids?
600
I like to help a poorly functioning friend along
glyBURIDE
700
Assessment findings by the nurse that indicate diabetes mellitus
What is?
Polyuria
Polydipsia
Nausea, vomiting, sore throat
Weight loss
Fruity odor to breath
Progressive fatigue to stupor
Kussmaul breathing
700
Assessment findings by the nurse that indicate problems with AntiDiureticHormone (ADH)
Change in urine output
Change in labs: Na, osmolarity
Change in Bp
700
Assessment lab findings that indicate pituitary malfunction
What are:
Changes in stimulating hormone levels
700
Etiology and pathology of malfunctions at the tertiary level
What are:
Inflammation (swelling)
Trauma (bleeding, hydrocephalus, cell death & swelling)
Infection (cell destruction and swelling)
Hydrocephalus (swelling)
of the hypothalamus
700
Mechanism for hormone regulation
Negative feedback loop
700
I help to keep the water where it belongs
desmopressin (DDAVP)