MK REVIEW > ENDOCRINE > Flashcards

ENDOCRINE Flashcards

(16 cards)

Study These Flashcards
1
Q

For Hypothyroidism think _________?

A

Hypermetabolism

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2
Q

What are the S and S of Hypermetabolic

A
  • Weightloss
  • Skinny
  • > BP
  • > Pulse
  • Personality, irritable, Hyper, obnoxious, excitable.
  • Heat Intolerance
  • Cold Tolerence
  • Exopthalmos
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3
Q

What is the other name for Graves Disease?

A

Hyperthyroidism

“ Run ourself into the ground”

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4
Q

What are the 3 treatment options for Graves Disease.

A
  1. Radio Active Iodine
    - Pt. should be alone 24hrs
    - Flush urine x 3
    - Hasmat team for split urine
    - Radio Active Excretes through urine.
2. PTU - Med given for hyper thyroid
    Puts
    Thyroid
    Under
*puts thyroid under < WBC
  • Primary use is cancer
  • Also used for hyperthyroid
  • immonosuppression monitor WBC
  1. Surgery - Thyroidectomy
    • Total Thyroidectomy
    • Subtotal Thyroidectomy
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5
Q

Describe a Total Thyroidectomy?

A
  • Removal of Thyroid
  • Life long hormone replacement

At risk for low calcium!

Calcium does opposite, so with hypocalcemia everything will go up! tetany, spasm, seizure irritablilty etc.

1st sign of Hypocalcemia = Parathesia

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6
Q

What 2 signs indicate Hypocalcemia?

A
  1. Trousseau’s Sign - Latent tetany carpel spasm occurs when the upper arm is compressed with a tourniquet of BP cuff.
  2. Chovsteks Sign - Twitching of facial muscles in response to tapping over the area of the facial nerve.
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7
Q

Describe a Sub Total Thyroidectomy

A

Hormone replacement for short term ….

At risk for thyroid storm, thyroid crisis.

  • High temp >105
  • Extremely high BP 210/180
  • Severe tachycardia
  • Psychotic delirum
  • This is a medical emergency causes brain damage must tx. immediately by < temp and > O2

SUB = Storm. Total=Tetany

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8
Q

How does the nurse TX. a high temp caused from thyroid storm?

A 
Ice packs (FIRST)
Cooling blanket (BEST)
O2 per mask - 10 L
Once T3 or T4 gets out of system - better
No medication - just sparing the brain
2:1 staff pt. ratio

Good Nursing Care will save their life.
Stay with Pt.

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9
Q

Post Op Risks for Thyroidectomy

A
  1. First 12 hrs doesn’t matter if its total or subtotal top priority is always AIRWAY!
  2. Hemorrhage
  3. 12-48hrs - this is where you must pay attention to if its a total of sub total.
    • Total = Tetany b/c low calcium
    • Sub = Thyroid Storm
                 "Totals get Tetany"
             "Subs get Storm"
          12-24 hrs after surgery!
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10
Q

Never pick infection prior to less than _____ hrs.

A

72

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11
Q

Describe the characteristics of HYPOTHYROIDISM (Myxedema)

A

Think Hypometabloism

  • Obese
  • Flat, boring, dull
  • Cold intolerance
  • Heat intolerance
  • Low pulse
  • BP Low
  • Slow test taker
  • AKA Myxedema
  • Not enough hormone
  • Synthyroid
  • Caution do not sedate
  • Question any sleeping pill order
  • Do not hold thyroid pills unless you were told and even then double check!
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12
Q

All Diseases that affect the adrenal cortex start with the letter “ A “ or “ “C”. Give 3 examples

A
  1. Addison’s Disease
  2. Cushings Syndrome
    3 Acute Exacerbation or COPD
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13
Q

Describe Addison’s Disease

A
  • Under Secretion of Adrenal Cortex
  • Hyper-pigmented very tanned
  • Do not adapt to stress b/c adrenal glands under secreting, so if they under go any stress their stress response does not kick in therefore they experience opposite effects < glucose < BP and and will therefore go into shock, it takes them no time at all to go into shock.
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14
Q

How do we treat Addisons Disease?

A

Steroids Glucocorticoids
“SONES”
“ In ADDISONS you “ADD-A-SONE”

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15
Q

Describe Cushings Syndrome

A

Over Secretion of Adrenal Cortex
“CUSHY TUSHY”

Think Cush Man

  • Atrophy of extremities
  • Bruise easily
  • Buffalo Hump
  • Gynecomastia -boobies
  • Heresutism - excess hair
  • High glucose
  • Hypertension
  • Immunosuppressed - infection
  • irritable
  • Muscle weakness
  • Puffy moon face
  • Osteoporosis
  • Retains sodium and water therefore loses potassium
  • Striae
  • Trunkle or Central Obesity
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16
Q

For Acute Exacerbation of COPD pick _____ ____ for an answer.

How is this treated?

Study These Flashcards
A

ACU Checks

TX. Hypersecreation of gland = Adrenial-ectomy
Bilateral Adrenalectomy = Addison’s

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