labs
What electrolytes should we monitor for people diagnosed with Diabetes insipidus? What might we expect to see?
Sodium may be high and ADH will be low
Your patient has hypothyroidism what medication would you expect them to take?
Levothyroxine
The pt has a hx of SIADH and comes into the ED with AMS and is lethargic, a scan was done and found that the pt has cerebral edema, what electrolyte balance are we concerned of?
Severe hyponatremia!
Pt has intolerance to cold, has gained weight, and notices that her hair is coarse, what might this pt have?
Hypothyroidism
What electrolytes will you be monitoring for your patient who has hyperparathyroidism? What lab values might you see?
Calcium will be elevated, phosphorus will be low and PTH will be elevated
Your patient has Addison's disease what medication would you expect them to take?
Steroids
A patient with a hx of hypothyroidism comes into the ED with subnormal temperature, hypotension, and impaired consciousness, the pt states she stopped taking her levothyroxine 10 months ago, what might you expect the pt may have?
Myxedema coma
r/t pt stopped taking her levothyroxine so her thyroid levels are now dangerously low
Pt has polydipsia, polyuria, and high sodium levels, what might this pt have?
Diabetes insipidus
What electrolytes will you be monitoring in a patient with SIADH? What might you expect those electrolytes to be?
Sodium may be decreased, ADH will be high
Other than medication what other treatment options are there for people with hyperthyroidism
Surgical removal of the thyroid gland
Your pt is 12 hours post op subtotal thyroidectomy and begins complaining of tingling in her fingers and numbness around her mouth, she is very jittery and nervous, what might be happening to the pt?
Hypoparathyroidism
Pt has low glucose, salt craving, abdominal pain, and diarrhea, what might this pt have?
Addisons disease
What labs might you be monitoring for a patient with Addison's and what might those lab values look like?
Cortisol low, glucose low, sodium low, potassium high
Your patient has hypoparathyroidism what medication/supplement might you expect them to be on?
Calcium supplements and Vitamin D supplements
Pt comes into the ED with uncontrolled Graves' disease, pt is agitated, she is tachycardic and has a high fever, what might you think is happening with the patient?
Thyrotoxic crisis
Pt has a moon face, buffalo hump, truckle obesity, and striae, what might this patient have?
Cushing's disease
What labs will you be monitoring for you patient who has hypothyroidism and what might those lab values be?
T3 and T4 will be low, TSH will be low
Your patient has Diabetes insipidus what medication will you expect them to be on?
Desmopressin
Pt comes to the ED vomiting and complains of intense pain, pt is confused and her potassium is 5.6 and her sodium is 125. What might we expect the pt has?
Addisonian crisis
Patient has skeletal pain, kidney stones, and abdominal pain. What might you expect the pt to have?
Hyperparathyroidism