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NU 214 Test 4
Endocrine System Part II
15
Nursing
Kindergarten
04/15/2014

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Cards

Term
parathyroid gland is ?
Definition
  • secretes parathormone
  • hyperparathyroidism
  • hypoparathyroidism
Term
parathormone does what ?
Definition
  • regulates calcium/phosphorus levels
  • ↑ parathormone = ↑ serum calcium levels
  • (will see and increase in calcitonin levels countering the increased calcium levels)
Term
hyperparathyroidism is ?
Definition
  • elderly - women
  • parathormone secretion results in calcium being released.
  • results in renal calculi
Term
S/S of hyperparathyroidism ?
Definition
  • asymptomatic
  • apathy, fatigue, muscle weakness
  • n/v, constipation, peptic ulcer, pancreatitis
  • htn, cardiac arrhythmias
  • mental changes
  • back/joint pain
  • renal calculi
  • fx, deformities
  • neurosis psychoses
Term
medical tx for hyperparathyroidism is ?
Definition
  • parathyroidectomy
Term
acute hypercalcemic crisis is ?
Definition
  • extreme calcium levels above >15
  • life threatening
  • tx is
    • hydration with iv fluids
    • diuretics
    • phosphate replacement
    • mithramycin
    • calcitonin
    • corticosteroids
    • dialysis
    • didronel (etidronate) dec calcium levels
Term
Hypoparathyroidism is ?
Definition
  • post thryoidectomy
  • parathyroidectomy
  • radical neck dissection
  • atrophy of gland
Term
S/S of hypoparathyroidism ?
Definition
  • decreased calcium levels/increased phosphorus levels
  • tetany
  • latent tetany
  • overt tetany
  • trousseaus sign
  • chvosteks sign
Term
Tetany is ?
Definition
  • irritability of neuromuscular system
Term
latent tetany is ?
Definition
  • numbness
  • tingling
  • cramps
  • stiffness of hands/feet
Term
overt tetany is ?
Definition
  • hypertonic muscles causing tremors/spasms
  • bronchospasm
  • cardiac dysrhythmias
  • seizures
Term
trousseaus sign is ?
Definition
  • occlude blood flow to arm with bp cuff for 3 minutes
  • positive with carpopedal spasm
Term
chvosteks sign is ?
Definition
  • tap over cranial nerve vii
  • positive with twitching of mouth nose eye
Term
what does calcium do to digoxin ?
Definition
potentiates
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