Addison's
Specific signs associated with Addison's disease
what is bronzed skin, sun-tannedhue,
lethargy, weakness, hypotension and tachycardia
increased thirst and increased urination and what hormone is effected
what is Diabetes Insipidus
ADH
If a client presents in thyroid storm post thyroidectomy what should you assess
what is temperature (fever)
Cardinal sign's of Hypothyroidism
what is decreased activity to fatigue, bradycardia, weight gain, old intolerance
Hyperglycemia, Hypokalemia, buffalo hump, moon face, bruises, and Elevated serum cortisol are seen in what adrenal disorder and what is the treatment?
what is Cushing's
Diuretics and adrenalectomy
Why should clients with Addison's disease consult MD prior to any surgeries, major stressful events, and/or dental procedures
what is due to the need for medication adjustment to maintain homeostasis and prevent addisonian crisis
Side effects of steroid therapy
what is hyperglycemia, osteroporosis, immunocompromised, bruising bleeding risks, weight gain, sodium/water retention.
Thyroid Strom requires treatment using what and what body system should be assessed most important? How do we know medication is working
what is PTU, Beta Blockers, Oxygen, Iodine, Tapazole.
Cardiac
symptoms resolve of Thyroid storm
Signs of Myxedema
what is extreme fatigue, slow speech, decrease LOC, confusion, bradycardia, hypotension
Why should the nurse assess the client Pulmonary status routinely with cushing's
what is due to fluid volume overload
Client teaching associated with Addison's Disease
what is monitoring for stressful events, monitor glucose levels (hyperglycemia), client should wear med alert bracelet, monitor for weight gain and report to MD
what is due to steroid therapy as it prolongs healing and decreases inflammation
Mood instability, irritability, tachycardia, HTN anxiety, restlessness, GI distress (diarrhea) are signs of
what is hyperthyroidism, more specifically thyrotoxicosis (mood instability and irritability) weight loss, diaphoresis
Common treatment of Hypothyroidism how do you know the med is and is not working
what is levothyroxine (thyroid hormone) increase the thyroid hormone production
working = symptoms return to baseline
not working symptoms of Hypothyroid persist
client teaching regarding steroid therapy
what is taper do not stop abruptly
Primary cause of Addison's disease
what is idiopathic atrophy of the adrenal gland
How does Iodine help with Hyperthyroidism and what must you remember when giving iodine?
what is iodine blocks thyroid the release of the thyroid hormones
Allergies
Why is a client given SSKI?
what is to reduce blood flow to the thyroid related to a goiter growth.
GI Side effect of Hypothyroidism
what is constipation.
What can you do to help reduce the risk of this?
chronic complication associated with cushing's include
what is PUD, HTN, osteoporosis
How can these be prevented or managed
Severe Hypotension, Tachycardia, lethargy, and shock are all signs of what urgent endocrine complication. This is due a decrease in what hormone and What is the treatment?
How is the treatment administered
what is Addisonian crisis.
Steroids
Steroids
2/3 in the AM and 1/3 in the PM - natural rhythm in the body
Post operative thyroidectomy experiences hypocalcemia, what are the symptoms and how do you treat?
what is parasethesia numbness of the nose lips and finger tips,
calcium gluconate
Clients with hyperthyroidism require HTN management, what medication should be avoid if the client also has asthma and why?
what is a beta blocker (propranolol, metoprolol, Inderal, atenolol).
Bronchoconstriction
sorry this is hyperthyroidism.....
When a hyperthyroidism client becomes irritable and loses weight with an increase in appetite is now experiencing what higher level of hyperthyroidism
what is graves disease
Cushing's results from a reduction in what hormone and where is this release from?
what is ACTH
Pituitary gland