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Hyperpituirarism=
too much GH
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Hypopituitarism=
- Low GH
- and ATCH, TSH, FSH, LH
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Problem with Diabetes Insipidus?
Cause?
Key things to watch....
- Low ADH
- post hypophysectomy or brain trauma
hypotension, F&E Imbalance with high Na
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Problem with SIADH?
Result?
Key things to watch for?
- Too much ADH
- Dilutional hyponatremia
Seizure precautions
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Graves disease is a result of?
2 Main concerns when a person has this?
Hyperthyroidism, which is too much TH
- Extreme stress can cause a thyroid storm
- Heart is a concern....so give BB, Inderal
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If a thyroidectomy is performed watch for....
hypercalcemia. Thyrocalcitonin will not be available to decrease calcium levels
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What is the problem with hypothyroidism?
What are my main concerns about this patient?
too little TH
heart issues-brady, hypotension
Hemodynamic issues
Hypothermia, hypoglycemia, hyponatremia, respiratory failure
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Whos at risk for a mixedema coma?
person with hypothyroidism that under goes surgery or gets sick
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Main problems with hyperparathyroidism
Watch for:
hypercalcemia/hypophosphatemia
- osteoporosis
- nephrolithiasis
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Post op care for a person after their parathyroid has been removed?
- respiratory distress
- bleeding
- tetany
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Main problems with Hypoparathyroidism?
Watch for?
hypocalcemia/hyperphosphatemia
- Tetany
- Dysrhythmias
- decreased CO
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Cushings Syndrome is a problem from...
What will be done?
What do I watch for?
too much cortisol and aldosterone
- surgery
- pre op correct all F&E imbalances
- make sure WBC is WNL
- give IV glucocorticoids
post op watch for cardiovascular collapse...hypotension, rapid, weak pulse and decreased UO
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Addisons Disease is a problem with...
Watch for:
insufficient adrenal hormones
Adrenal crisis from a stressful event, will have extreme hypotension
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Conn's syndrome is caused by?
Showing as.....
Treatment.....
adrenal tumor
- hypertension, hypokalemia
- hold on to Na and water, but lose K
surgery and carefully monitor BP and K
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Medication to give to a person with Conn's syndrome
Potassium sparing diuretic....gets rid of all of the fluid, but keeps the K
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Pheocromocytoma is caused by?
How will they present?
tumor of the adrenal medulla producing excess epi and norepi
episodic htn, tachy and profuse sweating
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How do you positively dx Pheocromocytoma?
Treatment?
24 hour urine will have vanillamandelic and metanephrines
surgery...but give BB or CCB for heart issues
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