Endocrine

Question 1

SIADH

Answer 1

Inappropriate amounts of ADH

1. oliguria
2. dilutional hyponatremia
3. serum osmolality
4. no edema - intracellular fluid can lead to cerebral edema and mimic stroke or neuro changes

Question 2

diabetes insipidus

Answer 2

Impaired renal conservation of h20.

1. Polyuria
2. low specific gravity
3. dehydration

Question 3

DKA

Answer 3

Diabetic Ketoacidosis

1. State of Acidosis (increased ketones)
2. Acetone breath
3. Kussmaul respirations in attempt to blow excess C02
4. increased serum osmolality

Question 4

HHS

Answer 4

Hyperosmolar Hyperglycemic State

1. NO ACIDOSIS - differing from DKA - Still has insulin
2. Dehydration

Question 5

Thyroid Storm

Answer 5

Overproduction in thyroid hormone

s/s:

1. Hyperthermia - Tachycardia - AMS
2. Diaphoresis
3. N/V/D
4. Tremors
   Treatment: Beta blocker - Definitive t3/t4 blocker

Question 6

Myxedema Coma

Answer 6

Result of Hypothyroidism

AMS

Treatment - IV thyroid hormone replacement

Question 7

Cushing’s Syndrome

Answer 7

S/s: Too much stress hormone

1. Weight gain “buffalo hump”
2. Moon face

Treatment: underlying cause: tumors, medications to block cortisol, reduce corticosteroids.

Question 8

Adrenal Insufficiency

Answer 8

Lack of cortisol and aldosterone.

Treatment: Steroids

Question 9

DIC

Answer 9

Disseminated Intravascular Coagulopathy

Causes blood clots to form throughout the body’s small blood vessels. Excessive clotting uses up fibrin and platelets, causing bleeding.

Administer Heparin - Anti-thrombin III - TXA for active bleeding