Endocrine Preview PDF

**Endocrine Preview** +-------------+-------------+-------------+-------------+-------------+ | | | What It | Manifestati | Treatments/ | | | | Is/Cause | ons | Nursing | | | | | | Con...

**Endocrine Preview** +-------------+-------------+-------------+-------------+-------------+ | | | What It | Manifestati | Treatments/ | | | | Is/Cause | ons | Nursing | | | | | | Considerati | | | | | | ons | +=============+=============+=============+=============+=============+ | | Hyperthyroi | Excess | Goiter | High | | | dism | production | | calorie | | | | & | HTN,  | diet w/ | | | | circulation | cardiac | freq snacks | | | | of Thyroid | output, | (carbs & | | | | Hormone | hypertrophy | protein) | | | | (TH) | | | | | | |  appetite | Fluids | | | | [Causes]{.u | | (oral, IV) | | | | nderline}: | Weight loss | | | | | overfunctio | | Antithyroid | | | | ning | Hair loss, | drugs | | | | of thyroid | thin & | | | | | (Grave's | brittle | Beta | | | | Disease), | nails | Blockers | | | | thyroid | | | | | | cancer, | Mood | Radioactive | | | | thyroid | swings, | Iodine | | | | hormone | insomnia | Therapy | | | | replacement | | | | | | s | | Monitor for | | | | | | s/sx of | | | | | | thyroid | | | | | | storm | +-------------+-------------+-------------+-------------+-------------+ | | Hypothyroid | Deficiency |  cardiac | Low | | | ism | of TH | output | calorie, | | | | | | high | | | | [Causes]{.u | SOB, | protein & | | | | nderline}: | exercise | fiber diet | | | | autoimmune | intolerance | | | | | (Hashimoto' | | Levothyroxi | | | | s), | Constipatio | ne | | | | decreased | n | (Synthroid) | | | | thyroid | | -- monitor | | | | function, | Weight gain | for angina, | | | | anterior | | dysrhythmia | | | | pituitary | Cold | s | | | | problems, | intolerance | | | | | removal of | | Teach about | | | | thyroid | Fatigue | lifelong | | | | gland | | HRT, | | | | | | required | | | | | | labs | | | | | | | | | | | | Monitor for | | | | | | s/sx of | | | | | | myxedema | | | | | | coma | | | | | | **[AND]{.un | | | | | | derline}** | | | | | | thyroid | | | | | | storm | +-------------+-------------+-------------+-------------+-------------+ | | Hyper-parat | Excess of | Nausea/vomi | ? 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D | | | | | Phos | supplements | | | | | | | | | | | | IV Ca | | | | | | gluconate | | | | | | for Ca \< | | | | | | 6.9 -- pt | | | | | | must be on | | | | | | a monitor! | +-------------+-------------+-------------+-------------+-------------+ | | Hypercortis | Excess of | Truncal | Provide | | | olism | glucocortic | obesity, | emotional | | | | oids | round face | support d/t | | | aka Cushing | | | physical | | | Syndrome | [Causes]{.u | Buffalo | changes | | | | nderline}: | hump, | | | | | prolonged | muscle | Monitor | | | | corticoster | wasting | FSBS for | | | | oid | | hyperglycem | | | | use, ACTH- | Hyperglycem | ia | | | | secreting | ia | | | | | pituitary | | Protect | | | | tumor, |  wound | skin, | | | | adrenal | healing | assess | | | | neoplasm | | wounds for | | | | | Fatigue, | delayed | | | | | weakness | healing | | | | | | | | | | |  Na, H20 | Monitor | | | | | retention | edema | | | | | | | | | | | Decreased | Teach low | | | | | immunity | Na, high K, | | | | | | low carb | | | | | | diet | | | | | | | | | | | | ? Surgery | +-------------+-------------+-------------+-------------+-------------+ | | Adrenocorti | Decreased | Weight loss | Monitor | | | cal | glucocortic | | FSBS for | | | Insufficien | oids, | Depression, | hypoglycemi | | | cy | mineralocor | apathy | a | | | aka | ticoids, | | | | | Addison's | & androgens | Bronze skin | Monitor for | | | Disease | | hyperpigmen | dehydration | | | | [Causes]{.u | tation | , | | | | nderline}: | | encourage | | | | usually | Fatigue, | fluids | | | | autoimmune; | weakness | | | | | hypofunctio | | Teach high | | | | n | Hypotension | Na, low K, | | | | of the | d/t | high carb | | | | adrenal | hypovolemia | diet | | | | glands, | | | | | | lack of |  Na,  K, | Monitor EKG | | | | pituitary | blood | for peaked | | | | ACTH | glucose | T wave | | | | secretion | | | | | | | | Teach pt to | | | | | | carry | | | | | | emergency | | | | | | kit | | | | | | containing | | | | | | HRT | | | | | | | | | | | | Teach s/sx | | | | | | of | | | | | | Addisonian | | | | | | Crisis to | | | | | | pt & family | +-------------+-------------+-------------+-------------+-------------+