Term
Addisons Disease
-Manifestations
-Tx |
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Definition
hyposecretion of the adrenal cortex hormones (insufficienct of cortisol,aldosterone and androgens. D/C steroid Meds abruptly w/ out weaning off them
Bronze skin color, Anorexia, nausea, electrolyte imbalance hyponatremia, hyperkalemia weight loss hypoglycemia
-Life long steroid tx (Florinef)high protient high carb diet |
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Term
Conns Syndrome, Aldosteronism
-Manifestations
-Tx |
|
Definition
Hypersecretion of aldosterone from adrenal cortex (usually due to tumor)
-Hypokalemia which leads to muscle weakness and cardia problems
Hypernatremia which leads to HTN
-Removal of tumor, K+ replacement, Aldactone (spironolactone) anit HTN |
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Term
Myexedema/Cretinism
-Manifestations
-Tx |
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Definition
hyposecretion of thyroid hormone in aldulthood. Cretinism fetus or neonate)
-goiter, anemia, weight gain, intolerance to cold, constipation,slow metabolism-Synthroid (levothyroxine) should be taken on an empty stomach. HR should be <100 BPM
Avoid sedatives,provide warm enviroment, increase roughage, daily weight |
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Term
Cushings Syndrome
-Manifestations
-Tx |
|
Definition
hypersecretion of the glucocorticoids; overdose of steroid meds
-moon face, mood swings,masculine characterisitics in women, hyperglycemia, amenorrhea
-high protein, low carb, low Na w/ K+ supp |
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Term
Hyperthyroidism (graves disease)
-Manifestations
-Tx |
|
Definition
hypersecretion of thyroid hormone, over tx of hypothyroidism
-increased fate of body metabolism, cardiac dysrhythmia, increase appetite, weight loss
-Tapazole; blocks thyroid hormone production Beta blockers relief of tachycardia RAI therapy
-provide rest, elevate HOB, cool enviroment. high caloric diet 4-5000 cal, daily weight |
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Term
Hypothyroidism
-Manifestations
-Tx |
|
Definition
hyposecretion of the parathyroid hormone; accidental removal during thyroid surgery
-Hypocalcemia, thin hair, lethargic, mental retardation
-IV Ca gluconate Vit D High Ca low Phos diet |
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Term
Diabetes
-Manifestations
-Tx |
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Definition
chronic disorder of carb metabolism, imbalance between insulin supply and demand either a subnormal amout is produced or th ebody requires abnormally high amounts
-3 "polys" polyuria, polydipsia,polyphagia, weight loss |
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Term
hypoglycemia
Ketoacidosis
Lipodystrophy |
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Definition
decreased dietary intake,excess insulin, inc exercise
-tachycardia, diaphoresis, tremors,confusion
- 3 Polys, N/V dry mucous membranes, coma. Give Reg insulin monitor electrolyte levels
-indurated areas of the sub q tissue 2nd to inj cold insulin or not roataing sites |
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