Diabetes
A patient’s mother reports he is cool, clammy, irritable, and confused. The nurse recognizes these set of symptoms as?
Hypoglycemia
Monitoring blood glucose every 4 hours, testing urine for ketones, continuing insulin or other diabetic agents is patient education for this.
Sick Day Management
The patient with hypoparathyroidism is instructed to avoid milk, yogurt, and processed cheese for this reason.
These foods are high in phosphorous
This is a life threatening complication of hyperthyroidism.
Thyroid Storm
These are commonly found labs associated with hypothyroidism.
TSH-elevated (primary)
T4-Decreased
T3-Decreased
A patient asks the best way to prevent microvascular and macrovascular complications after being diagnosed with diabetes.
Maintain tight glucose regulation.
This is an approach to administering insulin when daily CHO intake is consistent.
Carb Counting
Furosemide is utilized in a patient with hyperparathyroidism for this reason.
Promote calcium excretion
Three key symptoms of Thyroid Storm
Fever
Tachycardia
Systolic hypertension
Thyroid Hormone Replacement Drug generic and brand name for treatment of hypothyroidism?
Levothyroxine (Synthroid)
Trimming toenails straight across, podiatrist for ingrown toenails, inspect feet daily, good fitting shoes at all times.
Diabetic foot care education
The process of insulin being secreted when there is a high level of glucose detected is an example of this.
Negative Feedback System
3 symptoms of hypoparthyroidism
Tingle/numbness around mouth
Severe muscle cramps
Seizures
These are common labs found in hyperthyroidism
TSH-decreased (Graves)
T3-Increased
T4-Increased
What 3 things can be caused by increasing levothyroxine too quickly?
Severe HTN
Heart Failure
MI
A diabetic patient asks possible complications of sustained hyperglycemia. (microvascular-3 answers)
Nephropathy
Neuropathy
Retinopathy
This disease is noted to have an increased serum calcium, decreased phosphorous, and increased magnesium level.
Hyperparathyroidism
This vital mineral is strictly regulated in the blood by the parathyroid gland to keep bones and muscles workiing properly.
What is calcium?
When assessing your patient with hyperthyroidism you notice that their temperature was 99.4 at the beginning of your shift and 2 hours later is 100.9. There are two actions you should take.
1. Assess cardiac status.
2. Notify HCP
What is refered to edema that develops in hands, face, feet and area around the eyes with severe, long-term hypothyroidism?
Myxedema
This class of medication inhibits liver glucose production, decreases intestinal absorption of glucose, and increases insulin sensitivity. Educate patients this type of med should not be used for 48 hours after imaging with contrast.
Biguanides (metformin)
Asking the patient to speak directly upon waking from a parathyroidectomy assesses for this.
Laryngeal Nerve Damage
What is main function of parathyroid?
Regulates calcium & phosphorous balance
Hypoparathyroidism - decrease Ca, increase phos
Hyperparathyroidism - increase Ca, decrease phos
A patient newly diagnosed with hyperthyroidism is noted to have eyes that appear bulging and patient reports difficulty closing the lids completely. As a nursing student, you recognize this as?
Exophthalmos
Signs and symptoms of Hypothyroidism (3)
Bradycardia
fatigue
slow/slurred speech
confusion
impaired memory
Cold intolerance
Decreased body temp.
Wt. gain
Dry skin
Constipation
Non-pitting edema hands & feet
Decreased tenson reflexes
Depression