68WM6 Phase 2 test 13 Endocrine System
Quiz yourself by thinking what should be in
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on it to display the answer.
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| show | T3 & T4 Requires good IODINE intake
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| what does the Thyroid do? | show 🗑
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| hyperthyroidism a.k.a. | show 🗑
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| exophthalmos | show 🗑
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| show | memory loss, dysphagia/hoarse voice, weight loss, jittery, insomnia, may overreact to stress
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| show | tachycardia, HTN, edema of anterior neck, exophthalmos, hyperthermia, warm skin, hand tremors, cessation of menses,
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| show | increased T3 & T4, radioactive iodine uptake test(RAIU), thyroid scan
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| show | Propylthiouracil - Propyl-Thoracil, PTU Methimazole – Tapazole
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| show | destroy Hypertrophied tissue
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| show | Abdominal pain, n/v, diarrhea, sore throat, neck pain and edema, chronic hypothyroidism
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| side effects for medication therapy r/t hyperthyroidism | show 🗑
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| show | Teach deep breathing techniques, need for voice rest, possible complications, keep environment calm/cool, instruct how to support head when turning in bed and rising
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| post-op teaching r/t hyperthyroidism | show 🗑
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| show | bleeding, tachycardia, hypotension, apprehension, restlessness
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| show | Numbness or tingling Carpopedal spasm Tachycardia, tachypnea, hypertension Laryngeal spasm Positive Chvostek’s Sign Positive Trousseau’s Sign
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| what is tx for tetany | show 🗑
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| show | 12
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| s/s of thyroid storm | show 🗑
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| what are tx's for thyroid storm? | show 🗑
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| what is the severe form of hypothyroidism; congenital name | show 🗑
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| show | hypothyroidism
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| show | Mild to severe depending on deficiency Hypothermia/intolerance to cold Weight gain Development of atherosclerosis /CAD
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| show | Impaired memory, slow thought processes Depression or paranoia Lethargy, forgetfulness, and irritability Anorexia and constipation Decreased libido and reproductive difficulty Menstrual irregularities Speech and hearing impairments
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| show | Bradycardia, hypotension and bradypnea Facial features become enlarged, edematous Voice low and hoarse Exercise intolerance Weakness, clumsiness, and ataxia Ileus
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| show | Desiccated animal thyroid (Armhour Thyroid) Thyroglobulin (Proloid) Levothyroxine sodium (Levothroid /Synthroid) Liothyronine sodium (Cytomel)
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| what are some side effects r/t medical management r/t hypothyroidism | show 🗑
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| show | Medication usually given in the morning Initially low dose Increased gradually Side effects Establish maintenance dose
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| show | Right Upper Quadrant
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| show | Diabetes Mellitus (DM)
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| show | Type I DM
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| Decreased activity of the insulin that is secreted Target cells in the body resist action of insulin | show 🗑
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| Three P's to DM | show 🗑
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| things r/t DM that make you go "hmmmmmm" | show 🗑
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| show | Hunger Thirst Nausea Nocturia Weakness,Fatigue Blurred vision Appearance of halos around lights Headache
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| show | Decrease tissue responsiveness to insulin Caused by receptor defects Insulin resistance Decrease secretion of insulin from beta cells Abnormal hepatic regulation
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| Type II DM is Found primarily in adults > ____ years old | show 🗑
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| causes of Type I DM | show 🗑
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| Mobilization of protein and fat stores Muscle wasting and weight loss Thin clients, and hyperglycemia are all s/s of Type ____ DM | show 🗑
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| show | Headache Hunger Nausea, vomiting Nocturia, dehydration, hypovolemia Blurred vision, halo around lights
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| objective data for Type II DM | show 🗑
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| SMBG | show 🗑
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| describe Fasting blood glucose | show 🗑
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| OGTT | show 🗑
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| Describe an OGTT | show 🗑
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| how will a non-diabetic respond to a OGTT? | show 🗑
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| show | Blood glucose levels return to normal slowly Urine is positive for glucose
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| show | Postprandial blood sugar
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| Describe a PPBS | show 🗑
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| Test shows effectiveness of diabetic therapy for the preceding 8 – 12 weeks; Measures the amount of glucose bound to hemoglobin within the RBC | show 🗑
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| what is the normal HgbA1c? | show 🗑
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| what are the goals in managing DM? | show 🗑
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| Long term complications of DM | show 🗑
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| Some complex carbohydrates | show 🗑
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| Insulin dependent clients are usually given ___ _____ and ______ snacks. | show 🗑
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| show | Helping achieve normal blood glucose level < 126 mg/dl. Prevention and treatment of acute complications
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| insulin may be injected how? | show 🗑
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| show | regular, Humulin R or novulin insulin - ONLY Insulin that can be given IV
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| show | NHP, Humulin N, Lente
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| show | Ultralente, Humulin U
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| numbers for short acting insulin: | show 🗑
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| show | Onset: 60 –90 minutes Peak: 8 – 12 hours Duration: 24 hours
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| show | Onset: 4 – 8 hours Peak: 16 – 19 hours Duration: 36 hours (book - 24 hrs)
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| other insulin | show 🗑
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| r/t external infusion pump, how long is the cannula good for? | show 🗑
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| show | faintness, sudden weakness, diaphoresis, irritability, hunger, palpations, trembling, drowsiness
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| show | Regular
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| show | regular
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| Tolbutamide (Orinase), Chlorpropanamide (Diabinese), Glipizide (Glucotrol), Glyburide (Micronase) | show 🗑
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| show | Glucophage (Metformin) - Acts by inhibiting hepatic glucose production and increases sensitivity of peripheral tissue to insulin
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| show | Acts by inhibiting hepatic glucose production and increases sensitivity of peripheral tissue to insulin
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| show | Acts by delaying the digestion of ingested carbohydrates Results in smaller rise of blood glucose after a meal
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| would a pancreas transplant be a surgical option for type I or type II DM? | show 🗑
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| a hormone secreted in response to decreased levels of glucose in the blood (secreted by the alpha cells | show 🗑
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| show | Insulin
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| Promotes the conversion of amino acids to proteins in muscle, stimulates triglyceride formation, and inhibits the release of free fatty acids | show 🗑
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| show | combination of short-acting(Regular) and intermediate-acting (NPH)
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| show | short-acting(Regular)
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| show | intermediate-acting (NPH)
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| show | rapid
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| what do oral hypoglycemics do within the body? | show 🗑
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| show | delays digestion of ingested carbohydrates, thus lowering blood glucose, especially after meals
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| Oral Hypoglycemics Category includes what drugs? | show 🗑
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| show | Type 1 DM, severe kidney, liver, thyroid and other endocrine dysfunction. Avoid use in pregnancy or lactation
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| show | reduced dose
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| The purpose of the metformin | show 🗑
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| show | Miglitol and Pioglitazone
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| Hypoglycemia may be treated by ingestion of _____ _____. | show 🗑
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| what are s/s of insulin and oral hypoglycemic toxicity and overdose? | show 🗑
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| Slide Scale Insulin may be required for patient exposed to: | show 🗑
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| what does the thyroid secrete and what is important for this to happen? | show 🗑
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| show | controlled by the release of thyroid-stimulating hormone (TSH) from the pituitary gland.
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| what are the functions of the thyroid? | show 🗑
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| show | calcitonin
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| what are some contraindications for thyroid agents? | show 🗑
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| show | Cardiovascular disease (initiate therapy with lower doses). Severe renal insufficiency. Uncorrected adrenocortical disorders. Swallowing difficulty (levothyroxine tablets
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| r/r Geriatric pts, would you expect a typical adult dose or a reduced dose r/t thyroid meds? | show 🗑
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| side effects r/t thyroid meds | show 🗑
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| if heart rate is > than ____ we HOLD T3 | show 🗑
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| what are two antithyroid meds? | show 🗑
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| what are some side effects of antithyroid meds | show 🗑
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| show | hyperthyroidism
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| Treatment of thyrotoxic crisis, and a supplement during long-term parenteral nutrition | show 🗑
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| show | Control of hyperthyroidism. Decreased bleeding during thyroid surgery. Replacement/supplementation of iodine. Decreased incidence of thyroid cancer following radiation emergencies
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| give examples of iodine agents | show 🗑
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| Radioactive iodine isotopes will | show 🗑
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| antithyroid agents will cause what type of Lab differences | show 🗑
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| show | administer at same time in relation to meals every day.
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| if a dose of antithyroid meds are missed, when would you take the missed dose? | show 🗑
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| show | sore throat, fever, chills, headache, malaise, weakness, yellowing of eyes or skin, unusual bleeding or bruising, rash, or symptoms of hyperthyroidism or hypothyroidism promptly
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| show | decrease symptoms of hyperthyroidism, return of thyroid to normal state, prepare pt for thyroidectomy or radiation therapy, prevent/tx for iodine deficiency.
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| Which nursing diagnosis may appear on a hyperthyroid patient’s care plan? | show 🗑
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| The primary treatment for hypothyroidism is: | show 🗑
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| show | Radioactive iodine, Propylthiouracil, Methimazole
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| what is used to prevent/tx hypocalcemia | show 🗑
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| contraindications for electrolyte replacement | show 🗑
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| show | CNS: syncope (IV only), tingling. CV: cardiac arrest (IV only), arrhythmias, bradycardia. GI: constipation, nausea, vomiting. GU: calculi, hypercalciuria. Local: phlebitis (IV only).
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| show | cereals, spinach, or rhubarb
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| show | Assess patient for nausea, vomiting, anorexia, thirst, severe constipation, paralytic ileus, and bradycardia
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| how do you diagnose hyperthyroidism? | show 🗑
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| show | Administer drugs that block the production of thyroid hormones Propylthiouracil - Propyl-Thoracil, PTU Methimazole – Tapazole, Ablation Therapy Radioactive Iodine
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| show | Abdominal pain, n/v, diarrhea, sore throat, neck pain and edema, Rash or pruritis N/V, abdominal pain Loss of taste
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| what is the surgical management for hyperthyroidism? | show 🗑
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| show | Hyperthermia, risk for, related to increased metabolism, Nutrition altered, less than body requirements related to increased metabolism
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| r/t hypothyroidism, what are some examples of symptomatic relief? | show 🗑
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| what are two nursing diagnoses r/t hypothyroidism? | show 🗑
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| how do you diagnose hyperthyroidism? | show 🗑
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| show | Administer drugs that block the production of thyroid hormones Propylthiouracil - Propyl-Thoracil, PTU Methimazole – Tapazole, Ablation Therapy Radioactive Iodine
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| what are some side effects from ablation therapy r/t hyperthyroidism | show 🗑
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| show | subtotal thyroidectomy
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| who would you expect to have thyroid cancer? | show 🗑
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| what are the three types of thyroid cancer | show 🗑
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| Clinical Manifestations of thyroid cancer | show 🗑
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| what are the diagnostic tests for thyroid cancer? | show 🗑
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| show | Thyroid storm, tetany, excess bleeding
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| show | Changes glycerol and fatty acids into glucose Changes glucose into triglycerides as needed Stores glucose in the form of glycogen
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| show | brain & kidney
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| show | glycosuria
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| To excrete the increased glucose, the kidneys require extra water for dilution, this causes | show 🗑
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| show | polydipsia
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| show | dehydration
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| Despite excessive glucose in blood stream, it can not be used by body without insulin, this causes | show 🗑
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| show | weight loss
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| Carbohydrates can not be used properly Body’s fat and protein sources are broken down for energy, resulting in | show 🗑
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| show | Autoimmune process Viral Genetic predisposition Chemical agents
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| Regular...whatever, this is everything but 'regular'...it's faster than the avg Joe | show 🗑
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| Not Puckin Happenin....not right now type of insulin | show 🗑
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| 36 hrs is nothing compared to 30 days of Lent. hey we have something in common.... | show 🗑
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| show | Aldosterone
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| show | Involved in water and electrolyte balance, and indirectly manage blood pressure
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| show | Causes retention of sodium; with sodium comes water to increase circulating blood volume Causes wasting of potassium and hydrogen
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| Primary glucocorticoid | show 🗑
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| show | Involved in glucose metabolism Provides extra energy in times of stress Also exhibits anti-inflammatory properties
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| Adrenal medulla releases two hormones during stress "Fight or Flight“...what are they? | show 🗑
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| show | Mineralcorticoids Glucocorticoids Sex hormones
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| cushing's disease | show 🗑
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| Rare condition in which the plasma levels of adrenocortical hormones are increased Body's protective feedback mechanism fails, with resultant excess secretion of the adrenal hormones: glucocorticoids, mineralcorticoids, and sex hormones | show 🗑
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| show | Cushing's Disease
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| show | Presence of ecchymoses and petechiae Skin becomes thin and fragile Weight gain, edema and abdominal enlargement, with development of striae, buffalo hump, MOON FACE, HTN
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| show | prolonged wound healing, Osteoporosis/kyphosis from abnormal calcium absorption, Women may experience hirsutism and menstrual irregularities
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| show | Diagnosis usually based on clinical appearance and lab results Hyperglycemia, hypernatremia, hypokalemia Plasma cortisol elevated Plasma ACTH may be increased or decreased, depending on location of a tumor
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| More tests to diagnose Cushings Disease | show 🗑
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| show | Treatment is directed toward the causative factor Adrenalectomy for adrenal tumor Pituitary tumors may be irradiated or removed surgically (Transphenoidal hypophysectomy
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| cytotoxic agent that is toxic to adrenal glands | show 🗑
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| side effects for Mitotane (Lysodern) | show 🗑
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| show | Lowered in sodium, reduce calories and carbohydrates. Foods high in potassium
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| show | strict I&O, watch for edema in extremities, watch for bony prominences, for open lesions, ulcers, & ecchymosis, use heel/elbow protectors & eggcrate mattress, monitor blood glucose
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| show | Knowledge deficit, related to therapeutic regimen, Activity intolerance, related to weakness and immobility, Excess fluid volume, related to sodium and water retention
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| an acute, emergency, life-threatening state of profound adrenal cortical insufficiency that occurs when the adrenal glands suddenly fail | show 🗑
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| Continually assess for signs of developing adrenal (Addisonian) crisis such as | show 🗑
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| adrenal crisis is an emergency: death may occur from | show 🗑
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| show | Corticosteroids via an intravenous solution of normal saline and glucose Antibiotics are administered due to extremely low resistance to infection
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| show | Pheochromocytoma
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| The principle manifestation of pheochromocytoma is ___ | show 🗑
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| show | Presence of severe headache, palpitations, anxiety Severe hypertension Tremors, nervousness, dizzy and dyspnea Nausea and intolerance to heat Paresthesias (an abnormal sensation, such as burning, prickling, tickling, or tingling)
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| objective assessment r/t phenochromocytoma | show 🗑
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| show | Surgically approached by means of an abdominal or flank incision under and following the position of the 12th rib
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| Post-op care after an Andrenalectomy would include | show 🗑
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| show | Hypotension Nausea, vomiting Hypoglycemia Muscle weakness
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| what type of diet would be ordered after an Andrenalectomy | show 🗑
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| show | Controls functions over the other endocrine glands through the negative feedback syste Secretes hormones that activates other indocrine glands
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| show | FSH, LH, MSH, Prolactin, GH, TSH, ACTH
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| show | vasopressin, oxytocin, ADH
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| show | Acromegaly
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| show | big head and lower jaw, bulging forehead, thick lips, enlarged tongue, large hands and feet
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| show | Bone enlargement and joint involvement Gait changes and inability to perform activities Dyspnea, tachycardia, weak pulse and hypotension – signs of early heart failure
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| what is a medical tx / drug that can be used for acromegaly? | show 🗑
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| show | removal of tumor tissues through the nose
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| what are some causes for Diabetes Insipidus | show 🗑
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| s/s of DI | show 🗑
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| what are some objective sign for DI? | show 🗑
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| List three clinical manifestations of Diabetes insipidus? | show 🗑
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| show | ADH
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| what are some actions of Vasopressin? | show 🗑
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| show | Comatose patients. Seizures. Migraine headaches. Asthma Heart failure. Cardiovascular disease
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| vasopressin side effects | show 🗑
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| show | Monitor BP, HR, and ECG periodically throughout therapy and continuously throughout cardiopulmonary resuscitation
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| constriction of the airway causing dyspnea with long, crowing respirations as the air tries to get past the constriction | show 🗑
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| too much calcium causes: | show 🗑
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| show | Muscle tetany Osteoporosis Retarded growth in children
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| function of parathyroid | show 🗑
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| subjective signs of hypoparathyroidism | show 🗑
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| show | Positive Chvostek's sign Positive Trousseau's sign Laryngeal spasm/stridor Decreased cardiac output Spasms of the extremities, N/V, convulsions, cardiac dysrhythmias
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| show | hypocalcemia, hyperphosphatemia
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| what are medical management steps for a pt with hypoparathyroidism | show 🗑
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| show | emergency tracheostomy tray, airways, mechanical ventilation, and endotracheal intubation equipment
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| what are some things you will want to teach your pt r/t hypoparathyroidism? | show 🗑
|
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| loss of Ca+ from bones, Increased urinary excretion of phosphorus Bones become demineralized as calcium leaves and enters the bloodstream is related to | show 🗑
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| what type of diet would you teach your pt r/t hypothyroidism? | show 🗑
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| what are two nursing diagnoses r/t hypothyroidism? | show 🗑
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| show | thyroid gland enlarges, low T3 signals pituitary gland, inadequate intake of iodine
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| what are two types of medical mngt r/t a goiter? | show 🗑
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| what are three post-op complications r/t a goiter? | show 🗑
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| what are two nursing diagnoses r/t a goiter? | show 🗑
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| what are examples of medical management r/t hyperparathyroidism? | show 🗑
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| show | PARATHORMONE
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| OVER PRODUCTION OF PARATHORMONE RESULTS IN INCREASED LEVELS OF WHAT ELECTROLYTE IN THE BLOOD? | show 🗑
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| WHAT ARE POSSIBLE COMPLICATIONS OF HYPERCALCEMIA | show 🗑
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| WHAT IS THE MOST COMMON CAUSE OF HYPOPARATHYROIDISM | show 🗑
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| WHAT IS THE MEDICAL CARE FOR A PATIENT WITH HYPOPARATHYROIDISM | show 🗑
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| what part of the body provides the fastest, lease variable absorption r/t insulin? | show 🗑
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| how would you teach your DM pt to care for their feet? | show 🗑
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| show | foot soaks and powders not recommended, clean socks daily, avoid tight garters, cut toenails straight across, no hot water or heating pads on feet-will burn you
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| what kind of shoes would you teach/recommend for a DM pt? | show 🗑
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| show | arteriosclerosis, lower extremities, kidneys, eyes, and heart
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| show | Decreased ability to fight infection Delayed wound healing Cramping
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| Any abnormal condition characterized by inflammation and degeneration of the peripheral nerves | show 🗑
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| show | Legs
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| Microvascular changes affect retinal capillaries, may cause cataracts and retinal detachment | show 🗑
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| _________ and _______ imbalances occur due to the elevated blood glucose | show 🗑
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| when ketones accumulate in the blood, pH ____ | show 🗑
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| show | Client begins to hyperventilate in an effort to blow off CO2 to counteract the fall in pH
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| early s/s of ketoacidosis | show 🗑
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| early s/s of ketoacidosis | show 🗑
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| show | False. cerebral edema may occur with sudden influx of fluids
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| show | hypoglycemia
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| initial symptoms of HYPOglycemia | show 🗑
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| show | Dizziness Confusion Loss of speech Unable to control body movements Diplopia, blurred vision
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| late s/s of HYPOglycemia | show 🗑
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| show | True. administer rapid acting simple carbohydrate
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| show | HYPOfunction
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| show | Adrenalectomy Pituitary hypofunction Longstanding steroid therapy Idiopathic adrenal atrophy Cancer of the adrenal cortex Tuberculosis Autoimmune response
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| show | decreased cortisol and aldosterone
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| s/s of Addison's disease | show 🗑
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| Changes in the color of the mucous membranes and skin, with darkly pigmented areas, weight loss, N/V | show 🗑
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| what is a test that could be ordered to diagnose Addison's Disease | show 🗑
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| what type of diet would you expect r/t Addison's Disease | show 🗑
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| what nursing intervention would make most sense r/t Addison't Disease | show 🗑
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| what are some nursing diagnoses r/t Addison't Disease? | show 🗑
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| show | False. The physical changes are irreversible and pt is prone to developing complications
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| defects of the hypothalamus which directs the anterior pituitary to release excess amounts of GH | show 🗑
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| show | gigantism
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| pt will appear well proportioned and well nourished but appear younger than their chronological age | show 🗑
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| show | child is a great deal shorter than peers, well proportioned, but smaller. sexual development is usually normal but delayed, may produce normal offspring
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| show | dopamine agonists
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| This is not a complete set of the information. The drug section is not competely covered | show 🗑
|
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Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
jrstrader
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