The Thyroid
This is the initial lab a nurse should expect when testing for thyroid disease
What is TSH?
A client with moon face, truncal obesity, and purple striae likely has this.
What is Cushing’s syndrome?
This type of diabetes crisis involves ketone production and metabolic acidosis.
What is diabetic ketoacidosis (DKA)?
Clients with DI have urine that is very ______
What is dilute (low specific gravity)?
The “5 Ps” of pheochromocytoma include pressure, pain, palpitations, pallor, and..
What is perspiration?
A lab pattern showing low TSH and elevated T4 indicates this condition.
What is overt hyperthyroidism?
Cushing’s disease differs from the syndrome because it originates from this gland.
What is the pituitary gland?
Before starting insulin infusion in DKA, the nurse must check this lab value.
What is serum potassium?
The diagnostic test used to distinguish central from nephrogenic DI.
What is the water deprivation test?
The confirmatory test for pheochromocytoma.
What is a 24-hour urine for metanephrines or catecholamines?
This hormone imbalance causes weight loss, heat intolerance, and exophthalmos.
What is hyperthyroidism?
Clients with Cushing’s often have this electrolyte imbalance.
What is hypokalemia?
The first IV fluid given to a DKA patient is:
What is 0.9% normal saline?
A hallmark finding of SIADH.
What is hyponatremia with concentrated urine?
Before surgery, the nurse must never do this.
What is palpate the abdomen (can trigger crisis)?
Thyroid storm management includes these two key priorities.
What are reducing temperature and controlling heart rate?
During Addison crisis, this IV medication must be given immediately.
What is IV hydrocortisone?
The main difference between HHS and DKA
What is absence of ketones in HHS (but present in DKA)?
The medication used to treat central diabetes insipidus.
What is desmopressin (DDAVP) or vasopressin?
This combination of drugs stabilizes blood pressure before surgery.
What are alpha-blockers followed by beta-blockers?
The most life-threatening complication of hypothyroidism
What is myxedema coma?
Expected electrolyte findings in Addison’s disease.
What is hyponatremia and hyperkalemia?
A gradual glucose decrease prevents this dangerous complication.
What is cerebral edema?
Effective treatment of SIADH is indicated by this change.
What is increased urine output and stabilized sodium levels?
Excessive secretion of these hormones causes the symptoms of pheochromocytoma.
What are catecholamines (epinephrine and norepinephrine)?