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The amt of hormone released by any gland is controlled by?
negative feedback
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Lab test that can track glucose levels for 8 to 12 weeks:
HbA1c (glycosylated hemoglobin)
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What is OGTT?
oral glucose tolerance test; **FBS for blood sugar
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Diet for a pt with Cushing's syndrome:
low in sodium for edema and high in potassium
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What type of adjustment will a pt with diabetes have to make if they plan to stay active in sports?
monitor blood sugar before, during, and after activity
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What are the long term complications of DM?
** renal failure
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What is thyroid crisis, when does it occur, and what are the potentially lethal complications of it?
usually as a result of thyroid manipulation during surgery resulting in the release of large amts of thyroid hormones into the bloodstream; ** CHF
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What is diabetes insipidus and the clinical manifestations?
** deficient ADH
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What is acromegaly? What is the highest priority of care for the pt based on Maslows?
** risk for trauma (safety)
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Nursing dx for pt with hypothyroidism as a result of a newly developed goiter.
disturbed body image
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What is RAIU?
radioactive iodine uptake test;
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What is propylthiouracil?
PTU; tx for hyperthyroidism
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Position for pt postop subtotal thyroidectemy?
semi-Fowlers
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Most necessary thing you need to place at bedside of someone postop subtotal thyroidectomy?
tracheotomy tray
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s/s of Cushing's disease
moon face, weight hain, and excess facial hair
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Lispro acts how quickly?
15 minutes after injection
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Insulin requirements __________ when a pt exercises.
decreases
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Chvostek's sign and Trousseau's sign
** both decrease levels of blood calcium
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Deficiency of the parathormone secretion has a potential complication of:
laryngeal spasms
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Aseptic techniques are used to perform dressing changes on cellulitis. Why?
avoid infection
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Why are mid afternoon snacks of milk and crackers given to diabetics on insulin?
to prevent insulin reaction
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s/s of insulin reaction:
perspiration, trembling sensation
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Early s/s of diabetic ketoacidosis:
thirst and drowsiness
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Enlarged hands, feet, amenorrhea, increased hair growth indicates:
acromegaly (pituitary gland)
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Give diabetic teaching on feet care:
no hot water or heating pad, do not clip own toe nails
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Teaching on glyburide:
** increased sensitivity to receptor sites; stimulates insulin production
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Why would someone with hypothyroidism be referred to a dietician?
** calcium restricted meals
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Give d/c instructions for hypothyroidism:
regular check-ups and follow-up care
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How do you prevent lipodystrophy?
give insulin at room temperature
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What is Grave's disease? What is a thyroid storm?
** high temp, HTN, tachycardia (sx)
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What is the pituitary gland?
"master gland"
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What is iodine 131? Who should not be exposed to it?
radioactive; pregnant women
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What foods are rich in iodine?
saltwater fish, milk, eggs
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Side effect of calcium gluconate?
cardiac arrest, disrhythmias
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Primary clinical manifestation of hyperparathyroidism:
hypercalemia
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s/s of hypoglycemia
fainting, irritability
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Major life threatening complications postop thyroidectomy:
respiratory distress, recurrent laryngeal damage, hemorrhage, and hyperparathyroidism
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Cortisol is involved in:
glucose metabolism
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