Slowing Down
This is a rare life threatening form of hypothyroidism.
What is Myedema Coma?
HHS occurs most commonly in patients with this type of diabetes.
What is Type 2 Diabetes?
A patient in Addisonian crisis requires immediate administration of this medication.
What is IV hydrocortisone?
Closed neural tube defects are often recognized early in life due to an abnormal tuft or clump of hair or a small dimple or birthmark on the skin at the site of the spinal malformation.
What are the signs and symptoms of spina bifida Occulta?
Thyroid storm is a severe, life-threatening form of this condition.
What is hyperthyroidism?
What nursing intervention is most important for a patient with myxedema coma.
What is airway management and IV thyroid hormone
Name one early sign of DKA related to breathing pattern.
What is Kussmals Respirations
Most basic test to rule in adrenal crisis
Serum cortisol
which type of spina bifida is a sac with meninges that protrudes trough vertebral defect usually no paralysis
What is meninglocele
One hallmark cardiovascular symptom of thyroid storm.
What is tachycardia or hypertension?
What are the medication(s) administrered to a patient diagnosed with Myedema Coma?
What is IV Synthroid, T3&T4, and IV High dose Glucocorticoids?
The hallmark lab finding distinguishing HHS from DKA.
What is extremely high blood glucose without ketones or acidosis.
A common cause of Addisonian crisis related to patient noncompliance.
What is abrupt discontinuation of steroid therapy?
This type of spina bifida has a sac with spinal cord and/or nerve roots and meninges protrudes through a vertebral defect, associated with nerve paralysis.
What is myelomeningocele?
The priority nursing intervention to reduce body temperature in thyroid storm.
What is administering cooling measures such as ice packs or a cooling blanket?
This type of warming should be avoided with a patient with Myxedema Coma? and why?
What is active warming? Active warming increases O2 demands and hypotension.
This electrolyte must be monitored closely and replaced as insulin therapy begins.
What is Potassium?
What are triggers of adrenal crisis?
Infection/severe illness, surgery, and trauma
The Cerebellum is pushed into the upper spinal canal can possibly interer with normal CSF flow.
What is Type II Chiari Defect?
The medication given to block synthesis of thyroid hormones.
What is propylthiouracil (PTU).
Hallmarks signs of Myxedema Coma
Decreased mental status plus one or more of the following: Hypothermia, Hyponatremia, Hypercapnia, hypotension, hypoglycemia, hypoventilation, and Bradycardia.
This neurological symptom may develop due to extreme dehydration and hyperosmolarity.
What is altered mental status?
Sodium and potassium levels in adrenal crisis
Hyponatremia and hyperkalemia
An infant is born with a myelomeningocele, what should be the nursing priority as it relates to the myelomeningocele?
Cover the sac with a sterile, moist non-adherent dressing
Beta blockers are administered during thyroid storm to manage this symptom.
What is tachycardia or hypertension?