It's my HORMONES
Which hormone is responsible for conserving fluid?
Which gland is shaped like a bowtie or butterfly?
Thyroid gland
Moon face, buffalo hump, straie, and thin extremities are classic symptoms of which adrenal disorder?
EXTRA CUSHION OF STEROIDS
Which hormone helps lower blood sugar?
Insulin
Type 1 DM is to DKA as type 2 DM is to....
HHNS, HHNK, or hyperglycemic hyperosmolar NON KETOTIC syndrome
Which hormone is responsible for low levels of serum calcium and fixing the levels?
parathyroid hormone
Which glands are located above each kidney?
Adrenal glands
What does your patient look like that has been diagnosed with diabetes insipidus?
DI=DRY INSIDE
dehydrated, diluted urine, concentrated blood
low specific gravity
dry mucous membranes
thirsty, urinating a lot
TYPE 1 DM
Which hormone helps raise the blood sugar?
Glucagon
Acromegaly is a disorder of which hormone?
Growth hormone (GH)
Which gland tells releasing hormones or inhibiting hormones to be released to talk to the pituitary gland?
Hypothalamus
What does your patient look like that has acromegaly?
Happens slowly over time, notices bigger shoe, ring doesn't fit, broader more coarse features, hands enlarge, sleep apnea (tongue)
What is the occurrence when a child's blood sugar drops so low at night that the body tries to counteract by releasing glucagon, cortisol, etc to help raise the blood sugar? It is followed by hyperglycemia in the mornings.
Somogyi Phenomenon
What should you teach your adolescent patient who is diagnosed with Type 1 DM on having since he is involved in many sports activities?
Carry fast sugars, carry extra cash, keep glucagon kit on you, carry a protein/carb snack to follow up with after a hypoglycemic attack
This hormone monitors the level of calcium in the bones
Which gland contains oxytocin and ADH?
Posterior pituitary gland
What do we expect our patient to be diagnosed with when they come into the ER with heat sensitivity, weight loss, diaphoretic, insomnia, enlarged thyroid gland
Hyperthyroidism
List some signs and symptoms of DKA
high blood sugar
3 P's
lethargy
flu-like symptoms
abdominal pain
KETONES
High K levels
Kussmaul Respirations
Diabetics should check their feet weekly to make sure they don't have any skin break down. T or F?
False! Daily!
The release of this hormone tells your adrenal glands to produce cortisol
Adrenocorticotropic hormone (ACTH)
Most people normally have 4 of these glands that are located posteriorly on the thyroid
parathyroid glands
A patient with Addison's disease is going through very stressful life events. The patient has not been increasing her steroid intake during this time period. What can we expect to happen?
Addisonian Crisis
What are the first things we are going to do if a patient comes in in DKA or HHNK?
Large bore IV fluids, electrolytes
Insulin Drip.....Regular!
ABGs
Neuro exam
This type of DM can be found in young, obese clients as well as older clients when the intake of glucose exceeds the body's attempt to keep up with producing insulin
Type 2 DM