-
parathyroid hormone increases the serum calcium level in all of the following ways
*except--increase production of Ca in bones
-
sx of thyroid storm are
*all of the above--CHF, increased temp, tachycardia
-
admin of Ca
*all except---rapid infusion
-
nursing dx for pt taking thyroid meds
disturbed sleep pattern related to thyroid dysfunction
-
admin lypressin (diapid) intranasally
*should not be inhaled
-
s/s of hypocalcemia
*all except N&V
-
safety precautions to be taken for admin of tracer dose of I131
*no contact with children for about a week
-
what s/s assoc with propylthiouracil (PTU) should be reported promtly to dr
skin rash and sore throat
-
why would someone receive PTU 100 mg/day instead of 300 mg/day
age
-
drug most similar to PTU is
tapazole or methimiazol
-
prior to admin thyroid preparations to hypothyroid pts, first
check pulse rate
-
hypothyroid pts are very sensitive to
sedatives and hypnotics
-
signs that hypothyroid pt is moving toward euthyroid state
increased pulse, decreased weight, and increased strength and endurance
-
untreated diabetes insipidus will exhibit
large outpt of urine
-
education for hypothyroidism should be instructed that tx may take how long
several weeks before euthyroid
-
when admin lugol's solution or a saturated solution of potassium iodide what do you do
hold container, dilute with small amt of liquid
-
s/s of iodism
soreness of gums and increased salivation
-
I131 of iodism
*true statement--may result in hypothyroidism as long as 10 yrs
-
when clients are taking oral anticoagulants and then start on PTU they should do what
decrease anticoagulant
-
drug that is used during the tx of a thyroid storm to alleviate adrenergic problems is
propranolol
-
antithyroid drugs are unsafe for whom
*not true--unsafe for pregnant women and nursing mothers
-
tx of children with growth disturbances using a human growth hormone product
*not true--almost any growth deficiency can be treated with this product
-
corticotrophin (ACTH) and pts that are diabetic
*true--diabetics that take ACTH may need to increase insulin
-
daily nursing assessment of pts taking vasopressin
daily determination: weight, I&O and BP
-
hyperthyroid pts exhibit what sx
*which one---tachycardia
-
in monitoring pts on PTU, the nurse must be particularly watchful for what
agranulocytosis
-
a reason for limiting the use of iodides in the tx of hyperthyroidism
thyroid escape
-
propranolol is used in the tx of hyperthyroidism
*tx of cardiovascular effect
-
desiccated thyroid is most likely to cause
hypersensitivity
-
does T4 have a longer duration of action than T3
yes
-
what is more potent than human calcitonin
salmon calcitonin
-
acromegaly
glandular condition that only occurs in adults
-
U500 insulin is used
*all except strength of dose --does not cause lipodystrophy
-
correct way to mix insulin
*which--draw clear (regular) then cloudy
-
what electrolyte disturbance does a person experiencing ketoacidosis have
*monitor for hypokalemia (electrolyte disturbance)
-
what are the advantages of using an insulin pump
*include--"on demand" and eat whenever
-
mechanism of action of the glitazones
sensitize body to insulin present
-
what are some oral combination hypoglycemic agents
*which--glucovance
-
sx associated with type 2 diabetic clients
*not a sx--ketosis
-
what are the actions of insulin
*not an action--decreased GI absorption dietary glucose
-
name some intermediate acting insulins
*which--MPH
-
insulin that can be given IV
regular
-
common name for isophane insulin suspension
MPH
-
sulfonylurea oral hypoglycemic agent that has the longest duration of action
diabinese
-
major nursing goal in working with diabetic pt is
*self-care
-
hypoglycemia in a type 1 diabetic pt is most likely to r/t
diet
-
insulin should be _________prior to admin
bring to room temp---to minimize skin reaction
-
type 1 diabetes are:
insulin dependent
-
if a diabetic is found unconscious from the admin of more insulin than is required to deal with a glucose load is called
insulin reaction
-
if a diabetic is found unconscious and the nurse doesnt know the reason why, treat for:
*give sugar (like hypoglycemic)
-
glucagon IM should be effective when
initial dose given IM--effective 15-30 min
-
teaching for oral hypoglycemic agents
learn self-care
-
insulin most similar to human insulin is
pork
-
glyburide is a
2nd generation sulfonylurea
-
alcohol can cause what kind of problems with a person taking a sulfonylurea
adverse effects
-
byetta is
*causes insulin release from pancreas only when serum glucose is increased
-
clients who take metformin should be aware that
*should not be given IV contrast within 48 hrs
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