Endocrine
Name the condition caused by increased antidiuretic hormone (ADH)
What is Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Name the 3 P's (clinical manifestations of diabetes) and what they mean.
What are
1.Polyuria: Frequent urination
2.Polydipsia: Excessive thirst
3.Polyphasia: Extreme hunger
Total intake for the following fluids: 240 mL of apple juice, 50 mL of beef broth, 30 mL of ice chips, 350 mL of IV fluids.
What is 700 mL intake
The type of acid-base imbalance this patient has is...
pH 7.18
PaCO2 38 mm Hg
PaO2 70 mm Hg
HCO3− 15 mEq/L
What is Metabolic Acidosis.
State 2 things to teach patient who is prescribed levothyroxine (Synthroid) for hypothyroidism.
- take in the morning at same time every day
-take with a full glass of water on empty stomach 30-60 minutes before eating
-symptoms may not improve for several weeks
-do not switch brands
Name 2 diagnostic studies/criteria to used to diagnose diabetes.
1. A1C level 6.5% or higher
2.Fasting plasma glucose (FPG) level > 126 mg/dL
3.2-hour plasma glucose level during OGTT greater than 200 mg/dL (with glucose load of 75 g)
4. Random plasma glucose level greater than 200 mg/dL
Passive movement of electrolytes down a concentration gradient from an area of high concentration to low concentration is called...
What is diffusion
The type of acid-base imbalance this patient has is...
pH 7.60
PaCO2 30 mm Hg
PaO2 60 mm Hg
HCO3− 22 mEq/L
What is Respiratory alkalosis
During thyroidectomy or parathyroidectomy, this nerve may be damaged.
What is laryngeal nerve
Name two types of insulins that cannot be mixed with any other insulin.
What are Insulin glargine (Lantus) and detemir (Levemir)
What are 0.9% NaCl (NS) and Lactated Ringers (LR)
The type of acid-base imbalance this patient has is...
pH 7.58
PaCO2 35 mm Hg
PaO2 75 mm Hg
HCO3− 50 mEq/L
What is Metabolic alkalosis
Name life threatening complication of hyperthyroidism and two signs & symptoms/manifestations of this complication.
What is Thyrotoxic crisis (thyroid storm)
•Severe tachycardia, dysrhythmias
•Heart failure
•Chest pain
•Shock
•Hyperthermia (up to 106° F [41.1° C])
•Agitation
•Seizures
•Abdominal pain, vomiting, diarrhea
•Delirium, coma
State the most widely used oral diabetes agent that must be withheld when patient is undergoing surgery or radiologic procedure with contrast medium and length of time it should be withheld.
What are
*Metformin (Glucophage)
*24-48 hours before surgery or the procedure and not to resume taking it until 48 hours after the surgery or the procedure
State the major colloid (protein) in the vascular system that contributes to osmotic pressure.
What is albumin
The type of acid-base imbalance this patient has is...
pH 7.23
PaCO2 59 mm Hg
PaO2 59 mm Hg
HCO3− 25 mEq/L
What is Respiratory Acidosis
ABG results are as follows:
pH 7.20
PaCO2 28 mm Hg
PaO2 81 mm Hg
HCO3– 18 mEq/L
Describe assessment findings of a patient who would have these ABGs.
What is drowsiness and confusion leading to coma; deep, rapid respirations (compensation); hypotension and arrhythmias; warm, dry, flushed skin; and nausea, vomiting, and abdominal pain.