NSG 4800 Comp 2
Don't know?
Terms in this set (102)
hyperthyroidism Causes: Graves, Thyroiditis
Symptoms: Heat intolerance, tachycardia, weight loss, increased systolic BP,
Goiter
Treatment: PTU, Methamazole (pregnant?), radioactive iodine therapy,
thyroidectomy
thyroidectomy keep trach at bedside (stridor, laryngeal spasms)
may experience hypocalcemia (Chevosteks and Trousseaus)
Calcium gluconate at the bedside
thyroid storm Symptoms: fever (1 degree elevated is an emergency), Tachycardia, Systolic
hypertension
Treatment: PTU and Methimazole, hydrocortisone, prednisone, cooling
blankets
,NSG 4800 Comp 2
hypothyroidism causes: autoimmune disease, medications, and thyroid surgery
symptoms: cold intolerance, weight gain, dry skin, brittle nails and hair, hair
loss, constipation
treatment: levothyroxine (Synthroid) go low and slow, am in the morning 30
mins before meals, do not take fiber, monitor for chest pain
mxydema coma Causes: stopping levothyroxine, surgery, chemo, acute illness
Symptoms: hypothermia, hypotension, high morbidity rate
treatment: Mechanical ventilation, warm blankets, IV levothyroxine, IV
glucose
hyperparathyroidism Causes: Primary (adenoma, hyperplasia, or cancerous tumor) Secondary
(severe calcium deficit, vitamin D deficiency, Chronic kidney failure)
Symptoms: hypercalcemia, epigastric pain, bone weakness
Treatment: Diuretic and hydration (NS, Furosemide, Bumetanide) Calcitonin,
oral phosphate
, NSG 4800 Comp 2
hypoparathyroidism Causes: Neck surgery, cancer radiation to the neck, low magnesium
Symptoms: Hypocalcemia (CATS), Larynospasms, hypomagnesemia,
hyperphosphatemia, seizures
Treatment: decrease stimuli, calcium gluconate, calcitriol, NO milk, yogurt, or
processed cheese, ADD dark green leafy vegetables
SIADH Causes: brain tumors, head trauma, meningitis, Gullian barre, encephalitis
Symptoms: ALOT of fluid, LOW sodium
Treatment: fluid restrictions, furosemide, 3% NS, IV Conivaptan, PO Tolvaptan
DI Causes: craniotomy, falls/car accidents
Symptoms: ALOT of sodium, LOW fluids, increased thirst, up to 20L urine/day
Treatment: replace fluids, monitor output, vasopressin, desmopressin DDVAP
(nasal spray)
Addison's disease causes: TB, glucocorticosteroids, infections
symptoms: LOW bs and BP, HIGH HR, sodium, potassium, shock
Treatment: 3% hypertonic NS, replace hydrocortisone, solumedrol IS A
PRIORITY
addisonian crisis Causes: precipitated by physical or emotional stress, the sudden withdrawal
of hormone.
Treatment: hyperkalemia replacement, hormone replacement
Don't know?
Terms in this set (102)
hyperthyroidism Causes: Graves, Thyroiditis
Symptoms: Heat intolerance, tachycardia, weight loss, increased systolic BP,
Goiter
Treatment: PTU, Methamazole (pregnant?), radioactive iodine therapy,
thyroidectomy
thyroidectomy keep trach at bedside (stridor, laryngeal spasms)
may experience hypocalcemia (Chevosteks and Trousseaus)
Calcium gluconate at the bedside
thyroid storm Symptoms: fever (1 degree elevated is an emergency), Tachycardia, Systolic
hypertension
Treatment: PTU and Methimazole, hydrocortisone, prednisone, cooling
blankets
,NSG 4800 Comp 2
hypothyroidism causes: autoimmune disease, medications, and thyroid surgery
symptoms: cold intolerance, weight gain, dry skin, brittle nails and hair, hair
loss, constipation
treatment: levothyroxine (Synthroid) go low and slow, am in the morning 30
mins before meals, do not take fiber, monitor for chest pain
mxydema coma Causes: stopping levothyroxine, surgery, chemo, acute illness
Symptoms: hypothermia, hypotension, high morbidity rate
treatment: Mechanical ventilation, warm blankets, IV levothyroxine, IV
glucose
hyperparathyroidism Causes: Primary (adenoma, hyperplasia, or cancerous tumor) Secondary
(severe calcium deficit, vitamin D deficiency, Chronic kidney failure)
Symptoms: hypercalcemia, epigastric pain, bone weakness
Treatment: Diuretic and hydration (NS, Furosemide, Bumetanide) Calcitonin,
oral phosphate
, NSG 4800 Comp 2
hypoparathyroidism Causes: Neck surgery, cancer radiation to the neck, low magnesium
Symptoms: Hypocalcemia (CATS), Larynospasms, hypomagnesemia,
hyperphosphatemia, seizures
Treatment: decrease stimuli, calcium gluconate, calcitriol, NO milk, yogurt, or
processed cheese, ADD dark green leafy vegetables
SIADH Causes: brain tumors, head trauma, meningitis, Gullian barre, encephalitis
Symptoms: ALOT of fluid, LOW sodium
Treatment: fluid restrictions, furosemide, 3% NS, IV Conivaptan, PO Tolvaptan
DI Causes: craniotomy, falls/car accidents
Symptoms: ALOT of sodium, LOW fluids, increased thirst, up to 20L urine/day
Treatment: replace fluids, monitor output, vasopressin, desmopressin DDVAP
(nasal spray)
Addison's disease causes: TB, glucocorticosteroids, infections
symptoms: LOW bs and BP, HIGH HR, sodium, potassium, shock
Treatment: 3% hypertonic NS, replace hydrocortisone, solumedrol IS A
PRIORITY
addisonian crisis Causes: precipitated by physical or emotional stress, the sudden withdrawal
of hormone.
Treatment: hyperkalemia replacement, hormone replacement
