Hypo/Hyper Glycemia
Type 2 diabetes can be controlled by what factors
Diet and exercise modification
Signs and symptoms of hypothyroidism
heat loss
brittle hair
tiredness
puffy face
swollen eyes
Patient presents with low sodium 118 and confusion what is going to be the treatment?
3% saline, Desmopressin
A patient presents to the ED fatigued, thin, frail with bronze skin and is vomiting. What medication is most likely to be ordered
Hydrocortisone
A patient with myxdema coma you would check the following
What is the nursing priority for HHS
What are teaching considerations for someone who is getting RAI (radioactive iodine)
Avoid pregnant women kids and pets
use plastic utensils
Double wash clothing
A patient with SIADH is getting better when what assessment is noticed?
Increased urine output
Signs and symptoms of Cushings
Moon face
Hirsutism
Frail bones
HTN
Purple Stria to face and abdomen
A patient with Graves disease would present with
Anxiety, insomnia, high blood pressure, Low TSH, High T3
The nurse is caring for a patient with DKA who was admitted with a BS of 350 the BS now is 210 what should the nurse do
Add Dextrose to the IV fluids
Signs and symptoms of thyroid crisis
short of breath
Nausea
Confusion
Agitation
Abdominal pain
Signs and symptoms of DI
Diluted urine
Dehydration
Low specific gravity
Fatigue
Muscle weakness,pain
Tachycardia
Pt education when taking steroids
Don't stop abruptly report provider if stopped taking
Risk for infection
A patient with a thyroidectomy. What are the priorities?
Monitor for swelling
Monitor for thyroid storm
Monitor for low calcium levels (tetany, Chvosteks sign, Trousseau sign)
Signs and symptoms of DKA
Polyuria,polydipsia, Kussmaul respirations, fruity breath, BS > 250, Decreased level of consciousness
What medication is used to decrease T3-T4 in the body
Methimazole or PTU
What is a risk of DI
Water intoxication
A patient with addisons is expected to have the following labs
High potassium
low sodium
Signs and symptoms of Addison crisis
Fatigue, Nausea, Vomiting, Hypotension, hypoglycemia and low potassium
What is the key difference between HHS and DKA?
Ketosis and acidosis do not occur with HHS
Nursing considerations for expothalmos
Give eye drops education on keeping eyes moist
Nursing interventions for SIADH
Monitor Sodium and potassium levels
Cardiac monitoring (high potassium)
Strict I/O
Monitor for htn
Implement seizure precautions
A client taking vasopressin needs to
Monitor Blood pressure
Increase fluid intake
A client with diabetes insipidus must start taking vasopressin. Which information from the nurse is correct when providing teaching about this medication?
Monitor EKG rhythm