Term
| Difference between Type 1 & Type 2 Diabetes. |
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Definition
Type 1- cannot make insulin
Type 2- makes some insulin |
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Term
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Definition
| S/S= polydipsia, polyuria, no ketones |
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Term
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Definition
S/S= BG 400-800, met. acidosis, ketosis, dehydration, fruity breath, Kussmaul's resp's
Tx= Airway, fluid/electrolytes (NS), correct acidosis |
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Term
| How do you draw up a mixed insulin? |
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Definition
| Clear before cloudy (Regular 1st, then NPH) |
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Term
| What insulin is not mixed with anything? |
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Definition
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Term
Anterior Pituitary secretes...
Posterior Pituitary secretes... |
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Definition
Anterior= Growth hormone, ACTH, Thyroid-Stimulating Hormone
Posterior= ADH (anti-diuretic), Oxytocin |
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Term
| Difference between Primary and Secondary problem in thyroid disorder. |
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Definition
Primary= problem with gland
Secondary= problem with Pituitary |
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Term
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Definition
-Low T3, T4 but high TSH
Cause= iodine deficiency (Hashimoto's) |
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Term
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Definition
Cause= Pituitary tumor
S/S= Low TSH--> low T3, T4; fatigue, appetite loss, weight gain, cold, goiter |
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Term
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Definition
Life-threatening hypothyroidism
S/S= low BP, hypothermia, hypoglycemia, slurred speech, CV collapse
Tx= Thyroid hormones (Levothyroxine) |
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Term
| Primary Hyperthyroidism (Grave's Disease) |
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Definition
Cause= cancer, endogenous iodine, autoimmune
-High T3, T4, low TSH
S/S= Nervous, weight loss, increased appetite, hot, increased HR, warm/moist skin, exopthalmus |
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Term
| Secondary Hyperthyroidism |
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Definition
Cause= Pituitary tumor
S/S= nervous, weight loss, increased appetite, hot, increased HR, warm/moist skin, exopthalmus
Tx= PTU (Propo-thio-urasil), methimizole, radioactive iodine |
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Term
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Definition
Cause= stress/infection
S/S= increased BP/HR, hyperthermia, hypertensive crisis, fever, exopthalmos
Tx= stabilize resp/CV stress; Beta-blockers |
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Term
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Definition
Low cortisol
S/S= anorexia, hypoglycemia, low sodium, high potassium, metabolic acidosis
Tx= hydrocortisone, Florinef |
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Term
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Definition
Too much cortisol
S/S= "cushy"= moonface, thin hair, buffalo hump, thin skin, trunkal weight gain, low K+
Tx=Adrenalectomy, hypophysectomy (take out pit) |
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Term
| What does anti-diuretic hormone do? |
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Definition
| ADH= makes us NOT go to the bathroom |
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Term
| SIADH (Syndrome of Inappropriate Anti-Diuretic Hormone) |
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Definition
High ADH (lots of fluid retention)
Cause= pituitary tumor, carcinoma
S/S= fluid retention, low Na+
Tx= treat cause, diuretics, restrict fluids, I/O, daily weight |
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Term
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Definition
Low ADH (diurese too much)
Cause= tumor, trauma, inflammation
S/S= Thirst, urination, wt. loss, dehydration, low urine spec. gravity
Tx= Hormone replacement:
-vasopressin (pitressin)
-Desmopressin
Also fluids, I/O, weight |
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Term
| What does the parathyroid gland do? |
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Definition
| Maintains Ca+ and Phosphorus regulation |
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Term
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Definition
High Ca+
S/S= Kidney stones, osteoporosis, cardiac |
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Term
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Definition
Low Ca+
S/S= Cramps, numbness, tingling, cardiac |
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Term
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Definition
TUMOR of adrenal medulla that secretes epi/norepi
S/S headache, very high BP |
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