ADRENAL GLAND
WHAT HORMONES ARE INVOLVED WIITH THE ADRENAL GLAND AND WHAT DO THEY ?
GLUCOCORTICOIDS(CORTISOL) - REGULATE BLOOD SUGAR AND METABOLISM
MINERALCORTICOIDS (ALDOSTERONE)- REGULATE SODIUM AND WATER REABSORPTION, EXCRETES POTASSIUIM
WHAT HORMONES ARE INVOLVED WITH THE THYROID GLAND AND WHAT DO THEY DO?
T3 (TRIIODOTHYRONINE) & T4 (THYROXINE): REGULATE THE BODYS METABOLIC RATE, HEART RATE, TEMP AND ENERGY LEVELS
WHAT HORMONE IS INVOLVED WITH THE PANCREAS AND WHAT DOES IT DO FOR THE BODY?
INSULIN- REGULATES BLOOD SUGAR BY ALLOWING GLUCOSE INTO THE CELLS
WHAT CLIENT SHOULD HAVE A LOW FAT, LOW PROTEIN, LOW SODIUM DIET?
CIRRHOSIS
WHAT INSULIN IS ONLY TYPE FOR IV USE?
SHORT ACTING: REGULAR/HUMULIN R
ONSET: 30-60 MINS
PEAK: 2-4 HR
DURATION: 5-8 HR
THE FOLLOWING MANIFESTATIONS ARE FOR WHAT ADRENAL DISORDER: HYPERNATREMIA (>145) , HYPERTENSION, INCREASED BLOOD VOL, HYPERGLYCEMIA (>130) AND HYPOKALEMIA (<3.5)
WHAT IS CUSHINGS/HYPERADRENALISM
THE FOLLOWING MANIFESTATIONS ARE FOR WHAT THYROID DISORDER? HIGH TSH, LOW T3&T4, BRADYCARDIA, CONSTIPATION, COLD INTOLERANCE, DEPRESSION AND RESPIRATORY ACIDOSIS?
WHAT IS HYPOTHYROIDISM -> MYXEDEMA COMA
WHAT IS THE PLASMA GLUCOSE IN DKA (TYPE 2)?
300-600
WHAT CLIENT SHOULD HAVE A LOW PROTEIN, LOW POTASSIUM, LOW PHOSPHORUS, LOW SODIUM AND DECREASED FLUID DIET?
RENAL DISEASE
WHAT INSULIN SHOULD NOT BE MIXED WITH OTHERS?
LONG ACTING: GLARGINE,DETEMIR
ONSET: 1-2HR
PEAK: NONE
DURATION: 24 HR
THE FOLLOWING MANIFESTATIONS ARE FOR WHAT ADRENAL DISORDER: HYPONATREMIA (<130), HYPOTENSION, DECREASED BLOOD VOLUME, HYPOGLYCEMIA (<70) AND HYPERKALEMIA (>5)
WHAT IS ADDISIONS/HYPOADRENALISM
THE FOLLOWING MANIFESTATIONS ARE FOR WHAT THYROID DISORDER? LOW TSH, HIGH T3&T4, TACHYCARDIA, HYPERTENSION, HYPERTHERMIA, TACHYPNEA, RESPIRATORY ALKALOSIS
WHAT IS HYPERTHYROIDISM -> THYROID STORM OR THYROID TOXICOSIS
WHAT IS THE PLASMA GLUCOSE IN HHS(TYPE 1)?
WHY IS THERE URINARY KETONES IN TYPE 1?
>600
LACK OF INSULIN PREVENTS CELL FROM USING BLOOD SUGAR FORCING TO BREAK DOWN FATS INSTEAD
WHAT CLIENT SHOULD HAVE CARB CONTROLLED, LOW FAT AND LOW CHOLESTEROL DIET?
DIABETES
WHAT ANTIDIABETIC MED CAN CAUSE LACTIC ACIDOSIS IN LIVER/RENAL FAILURE?
BIGUANIDES (METFORMIN)
WHAT ARE PRIMARY NURSING INTERVENTIONS FOR ADDISONS?
ADMIN GLUCOCORTICOID (CORTISOL/HYDROCORTISONE)
ADMIN FLUDRICORTISONE
FIX BLOOD SUGAR WITH D50
EDUCATION OF STEROID ADHERENCE, INCREASING STERIODS DURING STRESS AND AVOIDING STRESSFUL SITUATIONS
WHAT ARE THE PRIMARY NURSING INTERVENTIONS FOR MYXEDEMA COMA?
LEVOTHYROXINE (SYNTHETIC T4)
ASSESS MENTAL STATUS ALTERATION
MONITOR THYROID LABS (TSH, L3,L4)
MONITOR RESPIRATORY STATUS (RESPIRATORY DEPRESSION)
ASSESS ABG LEVELS A
POSSIBLE MECHANICAL VENTILATION
WHAT ARE CLINICAL MANIFESTATIONS OF HYPERGLYCEMIA?
ABG'S-METABOLIC ACIDOES
POLYURIA,POLYDIPSIA
SUDDEN VISION CHANGES
HGA1C >6.5%
WHAT CLIENT SHOULD HAVE A LOW FAT DIET?
GALLBLADDER
WHAT ANTIDIABETIC IS HEPATOXIC?
THIAZOLIDINEDIONES (GLITAZONE)
WHAT ARE PRIMARY NURSING INTERVENTIONS FOR CUSHINGS?
FIX BLOOD SUGAR WITH IV INSULIN (HUMULIN R)
ASSESS HYPERTENSIOIN WITH SPIRONOLACTONE
LAB VALUES: GLUCOSE, NA, K, URINE/SERUM (CORTISOL)
BRING POTASSIUM BACK UP LOW AND SLOW
WHAT ARE PRIMARY NURSING INTERVENTIONS FOR THYROID STORM/THYROID TOXICOSIS?
ASSESS TEMP - IMMEDIATELY REPORT 1 DEGREE INCREASE
EKG-TACHYARRYTHMIAS
BETA BLOCKERS- METHIMAZOLE, PROPYTHIOURICIL
MONITOR HYPERTENSIOOIN
HIGH CALORIE DIET
COOL, QUIET ENVIROMENT
WHAT ARE PRIMARY NURSING INTERVENTIONS FOR HYPERGLYCEMIA?
IV FLUIDS
IV INSULIN (HUMULIN R) - MONITOR CAREFULLY
REPLACE ELECTROLYTES
MONITOR GLUCOSE, LOC, V/S, I&O
WHAT CLIENT SHOULD BE NPO?
PANCREATITIS
WHAT ANTIDIABETIC MED CAN CAUSE PANCREATITIS?
DPP-4 INHIBITORS (GLIPTON)