Nurs 5338 Mod 2 Pretest, 100% accurate
Describe the relationship of TSH and T3/T4 in hyperthyroidism
- decreased TSH
- increased T3/T4
Describe the relationship of TSH and T3/T4 in hypothyroidism
- increased TSH
- decreased T3/T4
Describe symptoms of hypothyroidism
1. w...
Nurs 5338 Mod 2 Pretest, 100% accurate
Describe the relationship of TSH and T3/T4 in hyperthyroidism - answer - decreased
TSH
- increased T3/T4
Describe the relationship of TSH and T3/T4 in hypothyroidism - answer - increased
TSH
- decreased T3/T4
Describe symptoms of hypothyroidism - answer 1. weight gain (inability to use fat
stores for ATP production)
2. cold (already lowered body temp)
3. slow heart rate (bradycardia)
4. slowed nervous system (fatigue, brain fog, & depression)
5. lose outer third of eyebrow (slow hair cell mitosis)
Describe symptoms of hyperthyroidism - answer 1. weight loss (burning through
glucose and fat stores)
2. hot, flushed face (already have relatively high body temp)
3. fast, irregular heart rate and blood pressure
4. agitation, irritability, trouble sleeping
5. frequent bowel movements and diarrhea
6. exophthalmos (bulging eyes)
Describe the Somogyi effect - answer *Caused by untreated hypoglycemia (overuse
of insulin)*, a dip in blood sugars causes a compensatory glucagon release causing
hyperglycemia in the morning
Which hormones cause an increase in glucose? - answer - glucagon
- epinephrine
- growth hormone
- cortisol
Describe "Dawn Phenomenon" - answer this is when the patient becomes
hyperglycemic between 5-6 am because of a nighttime release of growth hormone. The
, treatment: give more insulin for the overnight period. For instance, give NPH at 10 pm.
The diagnosis is made by checking blood glucose during the night.
During the Dawn Phenomenon, growth hormone will - answer - cause the elevation
of glucose
- as glucose levels rise, growth hormone decreases
The Somogyi Effect causes - answer (glucose level is decreased when too much
insulin is taken)
Increase in
- glucagon
- glucose
- epinephrine
Eventually causing glucose levels to rise
What formula is used to calculate BMI? - answer weight in pounds
height (squared) in inches x 703
The JNC 8 recommends to treat BP of 60 y/o - answer In the general population,
pharmacologic treatment should be initiated when blood pressure is 150/90 mm Hg or
higher in adults 60 years and older, or 140/90 mm Hg or higher in adults younger than
60 years.
In patients with hypertension and diabetes JNC 8 recommends treatment of BP begin -
answer when blood pressure is 140/90 mm Hg or higher, regardless of age.
JNC 8 recommends initial antihypertensive treatment should include - answer a
thiazide diuretic, calcium channel blocker, ACE inhibitor, or ARB in the general nonblack
population or a thiazide diuretic or calcium channel blocker in the general black
population.
If the target blood pressure is not reached within one month after initiating therapy -
answer the dosage of the initial medication should be increased, or a second
medication should be added.
What organism causes mononucleosis? - answer - Epstein-barr herpes virus
- spread by contact with the saliva of someone who had the infection within the past few
months and can be spread by kissing a person who is infected or by sharing a glass,
bottle, or eating utensils.
Describe symptoms of mononucleosis - answer - sore throat, fever, swollen glands,
and pus on their tonsils
- liver and spleen might be tender and larger than norma
What is the treatment for mononucleosis? - answer - rest
- analgesics
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