Endocringe
Depriving the client of fluids prior to test to measure the kidneys ability to concentrate urine
What is the Water Deprivation Test
Excess growth hormone in adults which causes an increase in size of body parts but not height
What is Acromegaly
Expected findings in a patient with hyperthroidism
What are nervousness, thin hair, exophthalmos, goiter
Physical findings with Cushing's disease
what is moon face, dependent edema, buffalo hump, acne, red cheeks, and hirsutism
A disorder where the pancreas does not secrete insulin
What is type 1 diabetes mellitus
In this disorder, Blood Coritsol levels are increased
What is Cushing's disease
Best indicator of an average blood glucose level for the past 120 days
What is a Hba1c test.
Propylthiouracil client education includes
What is taking medication with meals, and monitor for leukopenia or thrombocytopenia and sore throat
Characteristics that place a person at higher risk of developing Diabetes Mellitus
What are BMI > 25, HbA1C > 5.7 and Sedentary life style
Increased BP, truncal obesity, muscle weakness, poor wound healing, emotional lability
What are the classic signs of Cushings syndrome
Poor diabetes control is indicated by a HbA1c level of?
What is 9% or greater
ADH (Antidiuretic Hormone) replacement agent for Neurogenic Diabetes Insipidus
What is Desmopressin ( decreases urine output )
Never give to clients with SIADH!
Name three Expected findings of a client with SIADH (Syndrome of inapproriate antidiurectic Hormone)
What is fluid retention, confusion, nausea, vomiting, muscle weakness, and, in severe cases, seizures or coma.
Teaching about insulin injections with a patient newly diagnosed with Diabetes
What is rotate the injection sites.
Oral antidiabetic medication that should be taken with foods and stopped within 48 hours of a radiographic test with iodine
What is Metformin
TSH (Thyroid stimulating hormone) stimulates the thyroid to release ?
What is T3 and T4
This electrolyte is increased in blood tests with Diabetes insipidus
Bonus - What would their anticipated urine for Specific gravity be ?
What is sodium and USG< 1.005
A client with Hypothyroidism should their daily intake of this nutrient in their diet
What is Fiber
Nursing action during an Addisonian crisis
Monitor electrolytes, place client in recumbent position with legs elevated
Sweating, Pallor, Irritability, Hunger, sleepiness
What are signs of Hypoglycemia
Primary Goal in a patient with Addison's Disease is to prevent this.
What is circulatory shock'
These stiumlate the hypothalamus to hypersecrete ADH and lead to SIADH (syndrome of inappropriate antidiuretic hormone)
What are malignant tumors, head injury and seizure medications
Findings for a patient with Diabetes Mellitus
What are polyphagia, polyuria and polydipsia
Restrict fluids, daily weights , seizure precautions, No IVs, diuretics
Anticipated interventions for SIADH
Sick day management for a type 1 Diabetic
What is monitor blood glucose every 2- 4 hours