Hormones 1
Disease of the posterior pituitary resulting in insufficient antidiuretic hormone (ADH).
What is diabetes insipidus.
Overabundance of antidiuretic hormone (ADH) results in _______.
What is symptom of inappropriate antidiuretic hormone (SIADH).
Hormonal replacement therapy required for life in patients with hypothyroidism.
What is Levothyroxine/Synthroid.
3 Ps of diabetes mellitus type I.
What are polydipsia, polyphagia, and polyuria.
A common complication for diabetes mellitus type I.
What is hypoglycemia.
• Insulin shock, insulin reaction
• More frequent in Type 1
• Can Kill more then Hyperglycemia
• S/S:
• Pallor, tremor, anxiety, tachycardia, palpitations, diaphoresis,
headache, dizziness, irritability, fatigue, poor judgement, confusion,
visual disturbances, hunger, seizures, coma
What are the symptoms of DKA?
A defficiency of ADH causes poly_______ and poly_______.
What is polyuria and polydipsia.
An abundance of ADH causes edema, water retention that leads to electrolyte imbalance due to dilution: hypo_______ and hypo_______.
What are hyponatremia and hypo-osmolarity.
Number of weeks Levothyroxine/Synthroid are to be checked for safety and for provider to adjust the dosage.
What is 6-8 weeks so that the doctor can adjust the dose if needed.
2 types of diabetes mellitus type I.
What are types 1A and 1B
1A=autoimmune most common history of viral incident destruction of Beta cells
1B=idiopathic, nonimmune
NO or severely reduced insulin, Beta cells destroyed
A complication of diabetes mellitus. Blood glucose > 250 mg/dL, positive ketones (metabolic waster products), pH < 7.3; HCO3 < 18 mg/dL, with anion gap.
What is diabetic ketoacidosis (DKA).
What is the medical term for urine output >3L/24 hours.
What is polyuria.
Recommend is to reduce body water and correct dilutional hyponatremia.
What is fluid restriction.
Nursing intervention to ensure that Leovthyroxine/Synthroid does not interact with other medications.
What is medication reconciliation. Ask the patient if the patient is taking any over the counter medication while using the hormonal replacement therapy to determine potential drug-drug interactions. Get a complete list, because there is a lot of drugs that have potential of interaction.
Diabetes mellitus type I occurs in this age group.
What are the young adults under 30.
Signs and symptoms (cues) of hyperglycemic hyperosmolar nonketotic syndrome (HHNKS).
The medication(s) that synthetically replaces the missing hormone in diabetes insipidus.
What are desmopressin and vasopressin (pitressin).
The medication(s) that treat chronic symptom of inappropriate antidiuretic hormone (SIADH).
What are demeclocycline & lithium. How is demeclocycline used for SIADH?
Your advice for a patient who wants to stop taking their Levothyroxine/Synthroid medication.
What is make sure that patient is aware not to stop medication abruptly as it can cause some dangerous effects.
Other signs and symptoms (cues) for diabetes mellitus type I.
What are blurred vision, polyuria, polydipsia, polyphagia, weight loss, thin body build and ketones.
A complication of diabetes mellitus more frequent in type 2 DM. Blood glucose > 600 mg/dL, NO ketones (metabolic waster products), pH > 7.3; HCO3 > 15 mg/dL, with anion gap; serum osmolarity >320 mOsm/L.
What is hyperglycemic hyperosmolar nonketotic syndrome (HHNKS).
Action of ADH hormone replacement on renal tubules.
What is reabsorption of water in the renal tubules.
Intravenous fluid (IVF) of choice for severe symptomatic hyponatremia.
What is 3% normal saline.
Disorder when the thyroid gland doesn't make enough thyroid hormones to meet the body's needs.
What is hypothyroidism, or underactive thyroid.
(a) Pathophysiology of diabetes mellitus type I.
(b) Young patient asks if they can skip their insulin injection for the day.
What is a gradual auto immune destruction of beta cells; autoantibodies to beta cells
What is that the patient must be on insulin for the rest of their lives to stay alive.
Signs and symptoms (cues) of diabetic ketoacidosis (DKA).
What are kussmaul respirations (deep respirations in attempt to blow off excess acids), postural dizziness, CNS depression, ketonuria, anorexia, nausea, abdominal pain, thirst, polyuria.