NR 325 Exam 1 Endocrine
3 Ps
Low specific gravity
Low osmolality
High serum osmolality
hyperkalemic
hypernatremia
fluid restriction
vasopressin (DDAVP) - ANS-Diabetes Insipidus
8 weeks and it is LIFELONG! - ANS-How long does it take for Levothyroxine take full effect?
ADH - Affects kidney's - ANS-Posterior pituitary - What is involved in here?
All - ANS-How many patients on dialysis have diabetes?
Amiodarone and Lithium (blocks hormone production) - ANS-What two drugs cause low thyroid?
Anterior
Posterior - ANS-What are the two parts of Pituitary?
behind the stomach - ANS-Pancreas - where is it located?
BETA cells
a cells produce and secrete glucagon - NOT Insulin - ANS-Is insulin produced by beta cells or
alpha cells?
blood tests cortisol level timed period over 3 days - ANS-How to diagnose cushing's disease?
Both - ANS-Is thyroidtoxicosis or a thyroid storm dealing with hyperthyroidism?
Brain - ANS-Pituitary - where is it located?
Bronze/smoky in creases - looks like fake tanner - ANS-What is the key that someone has
Addison's disease?
Calcitonin
T3
T4 - ANS-Thyroid - What is involved with this
Cold all the time
, Hair starts falling out
Edema
Dull blank expression (flat affect)
Fatigue/Lethargy
Difficulty speaking - feel like their tongue is too big
Muscle aches and weakness
Dry/scaly skin
Stops periods (because when there is an endocrine imbalance, the reproduction is one part of
the body that isn't needed so it shuts down) - ANS-Symptoms of hypothyroidsm
cortisol - ANS-When you have diabetes, what is released?
Cortisol (gluco (sugar), mineralcortico (salt), androgen) - ANS-Adrenal Cortex - what is this?
Course facial features, headache, visual problems, forehead slanted back, protruding jaw,
hands BIG long fingers. Eyes work twice as hard to keep up - ANS-S/S of Marfan's syndrome
Critical high TSH levels
HYPOTHYROIDISM - ANS-Myexedema
Diabetes insipidus - ANS-Pituitary not working
Diabetes Insipidus - ANS-Too much urinary output equals
Elevated T3 and T4
Thyroid storm
Myexenda - ANS-Hyperthyroidism
Evaluate causes
Fluid replacement (orally or hypotonic fluid in severe cases)
Replace ADH with: aqueous pitressin I IV or sub cutaneous, Lysine vasopressin spray (nasal) or
DESMOPRESSIN ACETATE (DDAVP) - ANS-What nursing interventions for Diabetes Insipidus
Fight or Flight
**** Epinepherine and norepinepherine****
Catecholamines - ANS-Adrenal Medulla - What is this?
Give cortisol same time every day! Don't suddenly stop. - ANS-What is treatment for Addison's
disease?
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