Thyroid Disorders
This disorder will result in decreased T3 and T4 yet an increase in TSH levels.
What is Hypothyroidism?
This patient position will help prevent pulmonary complications for patients with acute pancreatitis.
What is semi-Fowler's? Patients may experience pulmonary edema (fluid overload), atelectasis, pleural effusion, pneumonia.
This condition results in a decrease in ACTH (adrenocorticotropic hormone).
What is Addison's disease? Low ACTH, low cortisol results in decreased inflammatory response, decreased WBC migration to inflamed area, raises serum glucose levels.
Monitor these labs closely.
What is calcium and phosphorus?
This procedure is anticipated for a patient with enlarged abdomen r/t liver failure.
What is paracentesis?
An autoimmune disorder resulting in ulcers that can occur anywhere in the GI tract.
What is Crohn's disease?
What priority items should the nurse ensure is at the bedside for patients status post thyroidectomy?
What is tracheostomy tray?
The role of pancreatic enzyme replacement - pancrelipase.
What is aid in digesting food? Enzymes are required to break down carbohydrates, fats, and protein in food. Typically prescribed for patients with chronic pancreatitis
When adrenal glands produce too much cortisol, it results in this condition.
What is Cushing's Syndrome?
This is a normal calcium level.
When this level is increased, the patient may present with yellowing of the eyes and skin and dark urine?
What is bilirubin?
Education for patient diagnosed with GERD.
What is remain upright 2 hours after meals, avoid fatty, spicy foods, limit alcohol, maintain healthy weight, small frequent meals, low fat diet, avoid eating late at night. H2 receptor blockers - acid reducer (famotidine/Peptic) Ranitidine/Zantac removed from the market.
A patient with this disorder may present with complaints of diarrhea, trouble concentrating, anxiety and insomnia?
What is hyperthyroidism?
To minimize pancreatic stimulation, a patient should be placed on this dietary order.
What is NPO?
Music therapy, deep breathing, meditation.
What are examples of stress management? Nurses should teach patients these techniques for patients with Addison's disease.
Treatment for hypoparathyroid patients.
What is calcium and vitamin D supplementation?
This medication helps eliminate ammonia from the body.
What is lactulose?
A patient with this disorder may report blood diarrhea, weight loss and abdominal pain. Nurses should monitor stool output.
What is ulcerative colitis?
This important patient education is required regarding the medication commonly prescribed for patients with hypothyroidism?
What is take levothyroxine (Synthroid) in the morning, at least 30-60 minutes before meals. Take at the same time each day with water.
This procedure is ordered to diagnosis and treat pancreatic diseases.
What is ERCP? This is an upper endoscopic procedure. Describe nursing care for this procedure.
Signs and symptoms of Cushing's syndrome.
What is thinning of hair, moon face, buffalo hump, muscle atrophy, slow wound healing, and weight gain.
This sign may be present in patients with hypocalcemia which involves facial nerves.
What is Chvostek sign?
What is maintaining the patient on the right side due to the risk for bleeding?
The nurse must monitor this level very closely for patients receiving TPN.
What is FSBS? This should be monitored q6h.
Postoperative care for patients with subtotal thyroidectomy.
What is maintain high Fowler's position to help prevent excess edema and minimize bleeding, monitor airway, wound care, monitor calcium levels/labs, IS, teaching related to lifetime medication compliance. Avoid hyperextension of the neck?
This type of diet is recommended for patients with pancreatitis.
Low-fat diet. Diet should be focused on vegetables, fruits, and whole grains. Avoid fried, fatty foods, and sugary foods.
The nurse should be monitoring these electrolytes for patients with Addison's disease.
What are sodium and potassium? Addison's may result in a lack of cortisol and aldosterone. Aldosterone regulates salt and water. Helps retain sodium and release potassium - think BP too!
High levels of this in the blood can lead to osteoporosis.
What is calcium? Calcium should be in the bones, not in the blood. Normal serum calcium levels 8.5-10.5.
Flapping of the hands indicating possible liver disease.
What is Asterixis?
A change in bowel habits for a patient with a history of colon polyps may indicate this.
What is colorectal cancer?