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NSG 4800 Comp 2 – Questions With Accurate Answers

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NSG 4800 Comp 2 – Questions With Accurate
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NPO 8 hours before
Monitor gag reflex to make sure it comes back
lozenges, saline gargle, and oral analgesics for discomfort
DO NOT DELEGATE



Choose an answer



1 hyperthyroidism 2 phenochromocytoma



3 ERCP 4 mxydema coma



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,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


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

, 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


cushings syndrome Causes: Corticosteroid therapy (COPD, asthma, RA, MS,
Lupus), pituitary tumor
Symptoms: moon face, buffalo hump, thin skin, muscle
atrophy
Treatment: Surgical removal of the adrenal gland, low
sodium diet, decrease in corticosteroid use

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