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NREMT-P Endocrinology
Endocrinology
21
Medical
Professional
10/06/2007

Additional Medical Flashcards

 


 

Cards

Term
What is the junction between the CNS and the endocrine system?
Definition
The hypothalamus
Term
The hormones produced by the posterior pitiuitary gland that helps control fluid regulation are:
Definition
antidiuretic hormone (ADH) also calle vasopressin. It also produces oxytocin.

ADH stimulates the kidney to retain water be reabsorbing sodium. When fluid levels stabilize, ADH is inhibited.
Term
You can suppress preterm labor by administering a fluid bolus because:
Definition
Because oxytocin release is inhibited.
Term
Grave's disease, characterized by insomnia, tachycardia, hypertension, and fatigue, is the result of:
Definition
Overprouction of thyroid hormones or hyperthyroidism.
Term
Myxedema, characterized by facial bloating, weakness, altered mental status, and oily skin is caused by:
Definition
Hypothyroidism - there is a 50% mortality rate. People with this condition take synthetic thyroid hormone.
Term
The parathyroid glands are reposnbile for regulating the blood level of:
Definition
This gland secretes the parathyroid hormone which increases the blood level of calcium.
Term
Which hormones are produced by the islets of Langerhands?
Definition
Glucagon, Somatostatin, and Insulin.

The specialized cells in the pancreas produce these three hormones. Alpha Cells - glucagon, Beta Cells - insulin, Delta cells - somatostatin.
Term
Catecholamines are released by the:
Definition
Adrenal gland, specifically the adrenal medulla.
Term
Which classes of hormones does the adrenal cortex secrete?
Definition
Glucocorticoids, mineralocorticoids, and androgenic hormones. These steroidal hormones respond to stress by raising blood glucose level, anti-inflammatory and immunte suppression duties.
Term
Which hormones control the testes?
Definition
They are controlled by the anterior pituitary hormones FSH (follicle stimulating hormone) and LH (luteinizing hormone).
Term
What is diabetes mellitus?
Definition
It is characterized by decreased insulin production by the beta cells.

Other characteristics are Ketone production, Osmotic diuresis, and associated heart and kidney disease.
Term
What causes diabetic ketoacidosis?
Definition
It is a direct result of body metabolizing other fuel sources, raising levels of by products such as ketones and other organic acids. This may cause metabolic acidosis and coma may ensue.
Term
Insulin Shock is a direct result of?
Definition
Is a result of insufficient glucose to meet tissue demands.  This maybe caused by taking an insulin shot, and then not eating enough to fuel the brain.
Term
How does nonketotic hyperosmolar coma differ from Diabetic Ketoacidosis?
Definition
Nonketotic hyperosmolar coma occurs when insulin is being produced, but not enough of it.  Insulin is transpring glucose into the tissue, but not enough to sustain proper levels.  In this case, glucose levels in the blood can be very high causing hyperosmolarity and thus dehydration, but not enough insulin is present to transport all of the glucose into the cells.

In DKA, fuels other than glucose are being used, thus creating ketones. 
Term
Name the classic signs of Diabetic Ketoacidosis or Hyperglycemia?
Definition
  • Diabetic History
  • Slow onset of ALOC
  • High Blood Sugar
  • Rapid and Deep Respirations
  • Warm and dry skin

Term
What are the characteristics of Kussmaul's Breathing?
Definition
Rapid and deep respirations.
Term
With a patient in DKA or hyperglycemia, what causes the hypotension and dehydrated look of the skin?
Definition
Osmotic Diuresis.  When the glucose level in the blood is high, the body makes an attempt to bring it down by losing it through urine. 
Term
In DKA or hyperglycemia, what causes the fruity breath?
Definition
When ketones are expelled in the respiratory tract, it smells fruity. 
Term

Define these early signs of DKA or hyperglycemia:
 - Polyuria
 - Polydipsia
 - Polyphagia


Definition
  • Polyuria - frequent urination
  • Polydipsia - frequent thirst
  • Polyphagia - frequent hunger
Term
Define insulin shock?
Definition
Too much insulin in the blood and not enough glucose, causing an altered level of consciousness.
Term
Define hypoglycemia?
Definition
The level of glucose in the blood is low, causing an altered level of consciousness.
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