Assessment
thyroid emergencies
Thyroid storm and myxedema come
Cells have a reduced ability to respond to insulin.
What is Type 2 Diabetes?
Blood glucose level is 64
What is hold insulin dose?
Blood Glucose and Insulin Test
What is Diabetes Mellitus?
When analyzing laboratory values, the nurse would expect to find this value as a direct result of overproduction of GHF.
What is Hyperglycemia?
Long undiagnosed hypothyroidism, severe illness, stopping thyroid medication suddenly, thyroid removal, cold temperatures, trauma.
What are possible etiologies?
Fluid restriction, diuretics, 3% NS
What is treatment for SIADH?
GAP is closed
What is D/C insulin drip and transition
TSH and thyroid panel
What is thyroid function test?
Inappropriate, continued secretion or action of ADH despite normal or increased plasma volume and decreased serum osmolality
What is SIADH?
Fever, Tachycardia, HF/Pulmonary edema, N/V Diarrhea, Profound agitation, Delirium Tremor, and Abdominal pain.
What is Thyroid Storm?
Kussmaul Respirations. Monitoring Anion Gap.
What is Type 1 Diabetes or DKA?
We monitor this electrolyte closely when running insulin.
What is Potassium?
Usually caused by pituitary tumor causing hypersecretion of ACTH
What is Cushing's syndrome?
Boggy eyes, hands and feet, thick tongue, slurred speech and hoarseness.
What is myxedema coma?
Desmopressin, D5W or 1/2 NS
What is treatment for Diabetes Insipidus?
This is type of insulin is used for our DKA and Hyperkalemic patients.
What is Regular insulin?
Cushing syndrome and Addison's disease
What is adrenal gland disorders?
When a chronic condition changes for some reason
Massive adrenal hemorrhage
Too rapid withdrawal of exogenous steroids
What is Addison's Crisis?
If not corrected in 24 hours can cause death
What is thyroid storm?
Desmopressin (DDAVP) (synthetic ADH)
Hypotonic fluids: D5W or ½ NS
Fluid restriction
Hypertonic: 3% NS
Diuretics (loop)
What are treatments for DI and SIADH?
This should be done before connecting your insulin drip to the patient
What is waster 20ml?