Addison's
Specific signs associated with Addison's disease
what is bronzed skin, sun-tannedhue,
lethargy, weakness, hypotension and tachycardia
increased thirst and increased urination
what is Diabetes Insipidus
Hormone effected?
ADH anti-diuretic hormone
If a client presents in thyroid storm post thyroidectomy what should you assess
what is temperature (fever)
Cardinal sign's of Hypothyroidism
what is decreased activity to fatigue, bradycardia, weight gain, old intolerance
Hyperglycemia, Hypokalemia, buffalo hump, moon face, bruises, and Elevated serum cortisol are seen in what adrenal disorder
what is Cushing's
Treatment options?
adrenalectomy
Why should clients with Addison's disease consult MD prior to any surgeries, major stressful events, and/or dental procedures
what is due to the need for medication adjustment to maintain homeostasis and prevent addisonian crisis
Side effects of steroid therapy
what is hyperglycemia, osteroporosis, immunocompromised, bruising bleeding risks, weight gain, sodium/water retention.
Thyroid Strom requires treatment using what?
what is PTU, Beta Blockers, Oxygen, Iodine, Tapazole.
What should you be assessing for during therapy?
How do you know therapy is working?
Signs of Myxedema
what is extreme fatigue, slow speech, decrease LOC, confusion, bradycardia, hypotension
Why should the nurse assess the client Pulmonary status routinely with cushing's
what is due to fluid volume overload
Client teaching associated with Addison's Disease
what is monitoring for stressful events, monitor glucose levels (hyperglycemia), client should wear med alert bracelet, monitor for weight gain and report to MD
what is due to steroid therapy as it prolongs healing and decreases inflammation
Mood instability, irritability, tachycardia, HTN anxiety, restlessness, GI distress (diarrhea) are signs of
what is hyperthyroidism, more specifically thyrotoxicosis (mood instability and irritability) weight loss, diaphoresis
Common treatment of Hypothyroidism
what is levothyroxine (thyroid hormone) increase the thyroid hormone production
how do you know it working ?
s/s of Hypothyroidism are stabilized
How do you know its not working?
signs aren't gone OR hyperthyroid symptoms appear
client teaching regarding steroid therapy
what is taper do not stop abruptly
Primary cause of Addison's disease
what is idiopathic atrophy of the adrenal gland
How does Iodine help with Hyperthyroidism?
what is iodine blocks thyroid the release of the thyroid hormones
what must you remember when giving iodine?
gastric irritation, mix with water or juice. use straw so they don't stain teeth
Why is a client given SSKI?
what is to reduce blood flow to the thyroid related to a goiter growth.
GI Side effect of Hypothyroidism
what is constipation.
What can you do to help reduce the risk of this?
fluids and fibers and ambulation
chronic complication associated with cushing's include
what is PUD, HTN, osteoporosis
How can these be prevented or managed
PPI/H2, ACE inhibitors, diuretics, Ca plus Vit D
Severe Hypotension, Tachycardia, lethargy, and shock are all signs of what urgent endocrine complication
what is addisonian crisis.
This is due a decrease in what hormone? (ACTH)
What is the treatment of Addison's crisis? (Hydrocortisone, Flurcortisone)
How are medications administered for Addison's disease? Why (2/3 am and 1/3 afternoon, correlates with normal hormone release).
Post operative thyroidectomy experiences hypocalcemia, how do you treat?
what is calcium gluconate
signs/symptoms of hypocalcemia
numbness tingling in the lips nose and fingers, tetany, Trousseau's and Chvostek's sign
Clients with hyperthyroidism require HTN management, what medication should be avoid if the client also has asthma?
what is a beta blocker (propanolol, metrpolol, inderol, atenolol).
Why
cardiovascular compromise, cardiac arrythmia and or arrest.
When a hyperthyroidism client becomes irritable and loses weight with an increase in appetite is now experiencing what higher level of hyperthyroidism, autoimmune in nature
what is graves disease
Cushings results from a reduction in what hormone
what is ACTH
where is this release from?
Pituitary gland