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Diagnostic tests and procedures for endocrine disorders
adrenal studies
22
Nursing
Undergraduate 1
01/30/2023

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Cards

Term
Preferred abdominal scan to detect adrenal tumors and metastases
Definition
CT scan
Term
useful in imaging the adrenal glands
Definition
MRI
Term
used to evaluate adrenal function for hypersecretion or hyposecretion of cortisol
Definition
cortisol
Term
for pt prep for cortisol studies
Definition
tell pt blood samples will be taken around 8 am and 4 pm, notify provider if pt is stressed or acutely ill
Term
used to diagnose hyperaldosteronism and determine whether it is primary or secondary
Definition
aldosterone
Term
pt prep for aldosterone studies
Definition
tell pt he or she will need to remain upright for 2 hours before blood is drawn, determine if drugs need to be withheld and for what period of time
Term
when cortisol is overproduced, this test reveals whether the basic pathology is in the pituitary or adrenal glands
Definition
adrenocorticotropic hormone (ACTH)
Term
Pt prep for ACTH studies include
Definition
NPO overnight, notify provider if pt is stressed, determine whether pt is on any drugs that need to be withheld
Term
For ACTHA procedure after blood is drawn place tube in _____ and send to lab
Definition
ice water
Term
for adrenal insufficiency, determines whether the basic pathology is in the pituitary or the adrenal glands
Definition
ACTH stimulation with cosyntropin
Term
pt prep for ACTH stimulation with cosyntropin involves
Definition
NPO over night, tell pt a blood sample will be drawn, an iv drug will be injected and additional blood sample drawn 30 and 60 minutes later
Term
used to diagnose adrenal hyperfunction adn its cause
Definition
dexamethasone ACTH suppression
Term
pt prep for dexamethasone ACTH suppression
Definition
tell pt dexamethasone will be given with milk or an antiacid at 11 pm, then NPO overnight. at 8 am a blood sample will be drawn, if cortisol not suppressed, test may be repeated with higher dose
Term
to differentiate adrenal tumors from ACTH overproduction
Definition
ACTH stimulation with metanephrine
Term
pt prep for ACTH
Definition
caffeine, alcohol, and some drugs may need to be withheld, tell pt metyrapone will be given at 11 pm and a blood sample drawn the next morning, contraindicated with adrenal insufficiency, could cause adrenal crisis
Term
for post procedure care of CTH simulation with metanephrine
Definition
monitor for signs of addisonian crisis
Term
assesses adrenal response to clonidine
Definition
pheochromocytoma suppression testing
Term
in pheochromocytoma suppression testing _____ response is diagnostic for pheochromocytoma
Definition
no
Term
pt pre for pheochromocytoma suppression tesing
Definition
the pt needs to recline and relax for 30 minutes, baseline blood sample is drawn, po clonidine is given and another blood sample obtained 3 hours later, monitor for hypotension throughout test period
Term
for post procedure care of pheochromocytoma suppression testing monitor
Definition
vital signs for at leas 1 hour after last blood sample drawn
Term
used to evaluate adrenal cortex function
Definition
17 ketosteroids
Term
used to assess adrenal gland function
Definition
cortisol
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