How sweet it is
What is the difference in the treatment of type 1 vs. type 2 diabetes
Type 1 diabetes is always and only treated with insulin
Diabetes insipidus is caused by
Incorrect signalling from the pituitary which lead to inadequate ADH
Signs of juvenile hypothyroidism include
Lethargy Periorbital Edema
Poor growth Low T4, High TSH
Constipation
Sparce hair
Skin changes
Signs of DKA include (name 4)
Initially polyuria ---> then oliguria
Initially hypokalemia ---> then hyperkalemia
abdominal pain
nausea and vomiting
metabolic acidosis
ketonuria
Synthetic growth hormone is given for growth hormone insufficiency at night because
Most growth occurs at night while asleep
A nurse is caring for a child with Grave's disease. What is the normal range for T4 and where would you expect it to be with Grave's?
Normal: 5.0 to 12.0 mcg/dL
in Graves, it would be above this
Higher blood glucose levels are usually desired in young children because
Rapid brain growth in young children and the brain can only use glucose
Children with either growth hormone insufficiency or excess are likely to be bullied or become bullies because
Body-image disturbance
Treatment of congenital hypothyroidism must begin as early as possible because
Without adequate thyroid hormone, the child's brain (most importantly) will not adequately grow.
DKA is treated by:
NS infusion
Insulin
Potassium if early in process and K is low
NaHCO3
When do the first signs of growth hormone insufficiency appear?
After the first year of life, where growth slows down to less than the third percentile
The most common cause of juvenile hypothyroidism
Hashimoto's disease
•Characterized by lymphocytic infiltration of the gland, inflammation, hyperplasia, which may be replaced with fibrous tissue
Education of a 12 year old newly diagnosed with diabetes should include
Nature of disease
Signs of hyper- and hypoglycemia
Potential complications of diabetes
Management during illness
Insulin therapy
Meal planning
Planning for activities
Drugs used for management of thyroid disease are (3)
Hypothyroid: levothyroxine
Hyperthyroid: Methimazole or polythyrouracil (PTU)