Diabetes
What organ is responsible for producing insulin?
Pancreas
what symptoms would someone with hyperthyroid exhibit?
Fast heart rate, metabolism, heat intolerance, fatigue, weight loss...
What gland produces TSH?
Anterior pituitary
what is the onset of rapid acting insulins?
10-30 minutes
what causes gout?
uric acid build up in the blood and tissues
what is the normal fating blood sugar range in a healthy adult?
70-100
what medications are given for hyperthyroidism?
Methimazole and PTU
what medication is given for hypothyroidism?
Levothyroxine
what are 3 rapid acting insulins?
Aspart, Lispro, Glulisine
what medications are used to treat or prevent gout?
Which one is used for prevention and which is used for an acute gouty attack?
allopurinol and colchicine.
What A1C is indicative of diabetes?
>6.5
women 20-40
women 50+
men 20-40
affects both equally
women 20-40
what autoimmune disease is the main cause of hypothyroidism?
hashimotos
Does insulin Glargine have a peak?
No long acting insulins dont peak
what type of fracture would be cause of concern in a child?
a spiral fracture could be a sign of physical abuse in a child.
what is the difference between DKA and HHS
DKA typically has a lower blood sugar and is associated with ketones in people with type 1 DM.
should you palpate the thyroid gland in a person who has or is suspected to have hyperthyroidism?
No, it can cause a sudden release of thyroid hormones leading to a thyroid storm.
clinical presentation of hypothyroidism?
thin brittle hair, weight gain, pale puffy face, low temperature and heart rate...
When they get their breakfast tray.
what are some ways you can help prevent osteoporosis?
weight bearing exercise, calcium and vitamin D supplements, smoking cessation, increase protein intake.
what is the first priority in someone with DKA?
fluids!
what are some signs of a thyroid storm?
hyperthermia, confusion, restlessness, sweating, tachycardia, GI issues (N/V/D)
what should a nurse consider when administering levothyroxine?
Give in the morning on an empty stomach 30-1hr before meals and wait about 4 hours before most other medications
what is the correct order of mixing insulin and what insulins cannot be mixed?
clear to cloudy! rapid first then NPH. You cannot mix long acting insulins!
how is osteoarthritis different than rheumatoid arthritis?
OA - usually unilateral, more common in weight bearing joints
RA - usually symmetrical and bilateral, autoimmune, more common in hands, wrists, fingers