Thyroid
Graves' Disease is a risk factor/common cause of this thyroid disorder:
Hyperthyroidism
Why would a patient receive an IV solution?
To maintain fluid volume when oral intake is insufficent OR Replace fluid loss.
This SQ injection site for insulin work most quickly.
Abdomen
Glucose is necessary for the body because of this reason.
glucose is a key source of energy for the cells in our body
A patient experiencing this type of electrolyte imbalance should be educated to immediately report any new onset muscle weakness.
hypokalemia
This potentially fatal condition may occur with hypothyroidism:
myxedema coma
What is the goal of an isotonic solution?
What is to expand the volume of the fluid. To cause no shift of ECF or ICF.
If you have a patient with hypokalemia, what diabetes medication should you not administer?
insulin
low- below 70
nausea, diarrhea, decreased DTR, decreased LOC/confusion, respiratory depression, feeling of warmth/flushing, prolongation of the PR interval, widening of the QRS complex, and increased T-wave amplitude.
Hashimoto's Disease is a common cause of this thyroid disorder:
Hypothyroidism
Name 2 signs of fluid volume excess
swelling/edema, weight gain, crackles in lungs, bloating, jvd/bounding pulse, hypertension, SOB,
This lab value shows the blood glucose level approximation over the last 2-3 months.
HgbA1C
Name 2 signs of hypoglycemia
"cold and clammy get some candy"
-reduced cognition, weakness, hungry, irritable, seizures (coma, death), tremors,
Spinach, tomatoes and broccoli should be limited/avoided in patients with this type of electrolyte imbalance.
hyperkalemia
A patient undergoing this specific treatment for hyperthyroidism must utilize a separate bathroom from other household members and should minimize/avoid close contact with others.
Radioactive Iodine Therapy
Give 2 examples of high sodium foods a patient with fluid volume excess should avoid:
process foods, canned foods, deli meats, frozen meals, table salt,
Name an example of when a DM patient is at increased risk for severe fluctuations:
when under any kind of stressor.
-2nd and 3rd trimesters of pregnancy.
-surgery
-trauma
-illness/infection
Name 1 diagnostic criteria for DKA
fruity odor to breath, kussmaul respirations, abdominal pain, polyuria, polydispsia, polyphagia, n/v, serum glucose >250, ketones/glucose in urine, metabolic acidosis
You are treating a patient for hypernatremia, you understand the adverse effects of hypotonic fluid administration and are watching for this serious clinical manifestation:
cerebral edema (cerebral shift)
This medication is used to treat hypothyroidism and should be taken 1 hour before meals or 3 hours after meals for best results.
Levothyroxine
approx. 1mg/kg/hr
You are to give NPH and regular insulin to a patient. Are these able to be mixed? If so, this is the correct order to draw them up into the syringe___.
yes.
regular then nph
(clear to cloudy) or (RN- regular, nph)
Treatment for hypoglycemia includes
if alert: 15-30g of fast acting carbs.
if unconscious give glucagon.
recheck blood sugar in 15min.
A patient presents with positive Trousseau's sign and bone pain. You suspect this electrolyte imbalance
hypocalcemia