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Test 2 medsurg II
endocrine
70
Medical
Undergraduate 4
02/15/2009

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Cards

Term
What does a person with enlarged hands and feet have?
Definition
Acromegaly
Term
A patient comes in and states they have been craving cold beverages and that their urine is very clear. What do you expect them to have?
Definition
DI
Term
For a patient with Neurogenic DI, what would you expect to give them to treat it?
Definition
DDAVP (Desmopressin)
Term
What does a patient have when they have ADH but their kidneys don't respond to it?
Definition
Nephrogenic DI
Term
A patient comes in that has a history of small cell lung cancer. They are also retaining fluid, have had muscle cramps and low urine output. Their lab values also show their sodium level is 115. What do you expect them to have?
Definition
SIADH
Term
What test do you perform to diagnose DI?
Definition
Water deprivation test.
Term
What is used in the management of SIADH?
Definition
Lasix, restrict fluid, monitor I and O.
Term
What is the most common cause of hypothyroidism?
Definition
Hashimoto's
Term
What is used to treat hypothyroidism?
Definition
Synthroid and levothyroid.
Term
What is the most common type of hyperthyroidism?
Definition
Graves disease
Term
A patient comes in with severe tachycardia, a temp of 102, and is restless. What do you suspect?
Definition
Thyroid storm
Term
What do you want to educate the patient with hyperthyroidism about ont he medications ptu and tapazole?
Definition
-Block conversion of T4 to T3
-Take several weeks to see relief of symptoms
-Stop the medications if you notice fever or mouth ulcers
Term
What would you do if a patient had a hypophyssectomy?
Definition
Elevate the head of the bed.
Term
What would you want to monitor a patient with hyperparathyroidism for?
Definition
Renal crisis
Term
What would you want to educate a patient with hyperparathyroidism about?
Definition
Avoid immobility
Term
A patient with hypoparathyroidism would experience what signs and symptoms?
Definition
Increased muscle activity,tingling and muscle cramps.
Term
What hormone stimulates glucose production by the liver, promotes protein breakdown, causes mobilization of fatty acids, and suppresses the immune response?
Definition
Glucocorticoids
Term
A patient comes in with a history of addisons diseases. They also have profound fatigue, dehydration, weak pulse, and low blood pressure. What would you expect them to have?
Definition
Adrenal crisis
Term
What lab values indicate addisons disease?
Definition
High ACTH and low cortisol.
Term
What time would you tell the patient is the best time to take corticosteroids?
Definition
Between 7 and 8 am.
Term
What are the signs and symptoms of cushings?
Definition
Hyperglycemia, thin extremeties, buffalo hump.
Term
What is a heparin antidote?
Definition
Protamine sulfate
Term
Woman is at risk for DVT?
Definition
Pt. Taking birth control
Term
For a patient having an anaphylactic reaction, what would you give?
Definition
Epinepherine.
Term
Aldactone?
Definition
K+ sparing diuretic
Term
What is an intervention a nurse can do to protect a patient from blood products?
Definition
Check patient's ID
Term
First sign of shock??
Definition
Skin Cool and clammy
Term
Pt has had bypass arterial surgery and complains of leg pain, has no pulse and cool, what should u as the nurse do?
Definition
Call the physician.
Term
Man has stopped taking his HTN medicine?
Definition
Many men have sexual dysfunction with HTN medications are you having any of this?
Term
Pt has pallor legs when elevated and rubor when dependant?
Definition
Arterial insufficiency.
Term
How would you as a nurse prevent shock?
Definition
Realize person is at risk for shock.
Term
Nursing assistant actions with patient with DVT you would stop it if?
Definition
Ambulate patient to bathroom.
Term
Most common s/s of HTN?
Definition
Asymptomatic
Term
A patient with a gunshot wound, what would you give as far as fluid is concerned?
Definition
Normal Saline
Term
A patient that is put on coumadin while taking heparin asks why he is having to take both?
Definition
Because coumadin takes 3-5 days to reach a therapeutic range.
Term
Shock?
Definition
Inadeuquate oxygen and nutrients to cells
Term
compensatory shock?
Definition
HR 120
restless
bowels hypoactive
cool and clammy
Term
Purpose of compression stockings?
Definition
Force blood flow through deep veins.
Term
CVP level for fluid replacement?
Definition
8-12
Term
Diabetic blood pressure?
Definition
130/80
Term
pt needs blood has something else infusing what should nurse do?
Definition
Start another IV with and 18g needle.
Term
Raynaud's?
Definition
Teach to stay warm.
Term
Buerger's?
Definition
Stop smoking
Term
Cause of primary HTN?
Definition
No known cause.
Term
BP 158/90?
Definition
Visit every 2 months
Term
Lifestyle modification
Definition
10 oz wine men, 50z women, 30 min exercise
Term
AAA with severe back pain, hypotension?
Definition
Immediate surgery
Term
Pain relieved with rest?
Definition
Intermittent claudication.
Term
Arterial insufficiency?
Definition
Pallor and rubor
Term
ABI of .40?
Definition
Arterial blockage
Term
Takin BP at initial visit?
Definition
Have pt sit quietly arm raised to heart level, check both arms
Term
Pt taking beta blocker warn of?
Definition
Postural hypotension
Term
Hypertensive crisis caused by?
Definition
Abriptly stopping meds
Term
Risk for DVT
Definition
Choices were gender age and social history
Term
Encourage intake of potassium?
Definition
Avoid salt substitutes (aldactone)
Term
Promote compliance?
Definition
Tell patient to take BP at home and keep logs.
Term
Goal for hypertensive emergency?
Definition
25% reduction in 1st hour
Term
Shock pt needs more calories because of?
Definition
Increased metabolic rates
Term
Pt is hemorrhaging risk for?
Definition
Hypovolemic shock
Term
What would you expect to give to a patient withe pheocromocytoma?
Definition
Anti-hypertensives.
Term
first intervention for DKA or HHNK?
Definition
O2 mask.
Term
When do you give glucose for DKA?
Definition
When it gets less than 250.
Term
Patient diagnosed with diabetes has a fasting glucose of 120. What is this?
Definition
Impaired fasting glucose.
Term
A patient with addison's will have?
Definition
F&E imbalance, decreased salt and sugar and mood swings.
Term
What makes a person acidic in DKA?
Definition
Fat metabolism.
Term
Pre-op for addisons?
Definition
Limit fluid to 1000ml.
Term
Diagnosis for DI?
Definition
Sleep pattern disturbances related to nocturia.
Term
Stop potassium if they have?
Definition
Oliguria.
Term
NPH peaks?
Definition
2pm
Term
Lantus?
Definition
Has no peak and last 24 hours!
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