Pharmacology
What is one treatment for hypothyroidism?
Natpara
What hormone causes decreased urine output, and makes the kidneys hold fluid?
Antidiuretic Hormone
What electrolyte does the parathyroid gland regulate?
Calcium
What is the difference between Cushing's disease and Cushing's syndrome?
Cushing's disease is often a tumor, creating to much cortisol in the body.
Cushing's syndrome is Exogenous usually caused by chronic steroid use (Iatrogenic)
Addisons disease is a disfunction of the ______ gland?
Adrenal
What does Calcitrol support ?
Increased Calcium absorption in the GI tract
This is often paired with a calcium supplement
What are symptoms of Syndrome of Inappropriate Antidiuretic Hormone?
Low urine output
Fluid Overload
Hyponatremia
What type of complications can occur with Hypocalcemia?
Tingling, numbness on the lips
Pos Trousseaus
Chvostek
Laryngeal spasms
What are some symptoms of cushing's syndrome?
Moon Face, Hyperglycemia, Thin Skin, Purple Striae, Bruises
What is some of the most important nursing managements you can do for Addison's disease?
Protect from extremes
Protect from light and sound
Stress Management
Adjust steroid doses, during fever, influenza, tooth extraction, and physical exertion.
What are three glucocorticoids?
Prednisone, Hydrocortisone, Dexamethasone
Diabetes insipidus is caused by ?
Underproduction of the antidiuretic hormone
What treatment stops laryngeal spasms and cardiac issues?
IV Calcium
True or False: Tapering is not necessary when taking dexamethasone
False: It needs to be tapered because the pituitary gland has stopped making ACTH, it cannot manage stress or bp! this needs to be done slowly to help the pituitary gland function on its own again.
What are some important labs to follow with adrenal insufficiency?
Sodium-Low
Low Cortisol Levels
What is the action for glucocorticoids?
Suppresses inflammation, Immunosuppression
Medications such as vasopressin are used to increase what?
Blood pressure
Causes of Hyperthyroidism?
Increased PTH
Lung Cancer
Cancer of the gland
Prolonged Immobility
Hyperthyroid >
What is one problem that can be caused by abrupt steroid use?
Adrenal insufficiency
What is a cause for adrenal insufficiency?
Abrupt stop of steroids
What important drug does Levothyroxine interact with and decrease its effectiveness?
Digoxin
What may be one reason vasopressin is prescribed?
Diabetes Insipidus
Head Injury
What does PTH regulate in the blood?
Calcium!
What type of diet should someone who has cushing's syndrome eat?
Decreased Carbs, Increased Protein, and Increased Fat
Overall Increased Snacking
What is the main treatment for adrenal insufficieny?
Give IV steroids, Iv glucose, and insulin to let k+ in to the cells.