DKA Dilemas
This type of insulin is used first to treat diabetic ketoacidosis.
What is regular insulin?
HHS occurs most commonly in patients with this type of diabetes.
What is Type 2 Diabetes?
Addison’s disease results from insufficient production of this hormone.
What is cortisol?
Cushing’s disease results from excessive secretion of this hormone.
What is cortisol?
Thyroid storm is a severe, life-threatening form of this condition.
What is hyperthyroidism?
The primary acid-base imbalance seen in DKA.
What is metabolic acidosis?
True or False: HHS typically presents with ketosis.
What is false?
A patient in Addisonian crisis requires immediate administration of this medication.
What is IV hydrocortisone?
One common physical feature associated with Cushing’s syndrome.
What is a “moon face” or “buffalo hump”?
One hallmark cardiovascular symptom of thyroid storm.
What is tachycardia or hypertension?
Name one early sign of DKA related to breathing pattern.
What is Kussmaul respirations?
The hallmark lab finding distinguishing HHS from DKA.
What is extremely high blood glucose without ketones or acidosis.
The key electrolyte imbalance seen in Addison’s crisis.
What is hyperkalemia?
Postoperative nursing care after adrenalectomy should focus on preventing this complication.
What is adrenal insufficiency or Addisonian crisis?
The priority nursing intervention to reduce body temperature in thyroid storm.
What is administering cooling measures such as ice packs or a cooling blanket?
The priority fluid given to a DKA patient upon admission.
What is 0.9% Normal Saline?
The initial priority in treating HHS.
What is aggressive fluid replacement?
A common cause of Addisonian crisis related to patient noncompliance.
What is abrupt discontinuation of steroid therapy?
The electrolyte imbalance often seen with hypercortisolism.
What is hypokalemia?
The medication given to block synthesis of thyroid hormones.
What is propylthiouracil (PTU) or methimazole?
This electrolyte must be monitored closely and replaced as insulin therapy begins.
What is potassium?
This neurological symptom may develop due to extreme dehydration and hyperosmolarity.
What is altered mental status?
The emergency treatment for severe hypotension unresponsive to fluids in Addisonian crisis.
What is vasopressor therapy?
This lab test helps diagnose Cushing’s syndrome by showing failure to suppress cortisol levels.
What is the dexamethasone suppression test?
Beta blockers are administered during thyroid storm to manage this symptom.
What is tachycardia or hypertension?