MARK KLIMEK NCLEX STUDY GUIDE NOTES 2023 Updated
Hyperthyroidism is also called
Grave's disease or hypermetabolism
Tip to remember Grave's disease s/s's
"Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold
tolerance, hot intolerance
Treatment for Grave's disease
Radioactive Iodine, PTU (put thyroid under), surgically remove
Total thyroidectomy ... totals get
tetany, need lifelong hormone replacement
After thyroidectomy patients are at risk for
hypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so tetany,
parasthesia
parathesia
numbness and tingling, first sign of electrolyte imbalance
Subtotal thyroidectomy ... subs get
storm
S/S of thyroid storm
,Extremely high vital signs, hyperpyrexia, psychotic delerium
How to treat thyroid storm
give o2, lower temp to spare brain
Risks post op for total thyroidectomy
airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy
airway, hemorrage for 1st 12 hours then for 12-48 hours thyroid storm
Hypothyroidism is also called
Myxedema or hypometabolism
S/S of mydexema
everything is down, constipation, heat tolerance, cold intolerance
Treatment for mydexema
give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient
neck pits groin
,If you cool a patient too fast what might happen?
Heart arrythmias
Never hold the hormone for what patient?
patient who is NPO with mydexema
Addison's disease easy way to remember
Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember
A in Adrenal stands for Addison's
C in Cortex stands for Cushing's
Addison's disease is
undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock very easily.
STRESS can trigger.
Addison's disease treatment
give a steroid, chronic steroid therapy
Cushing's syndrome
Over secretion of adrenal cortex, too much hormone, too much steroid.
S/S of Cushing's syndrome
, same as steroid use ... moon face, think cushman "I'm mad I have an infection", high blood sugar,
losing Potassium,
Treatment for Cushing's syndrome
Surgery, bi or uni lateral adrenalectomy (bilateral is worse)
Donning PPE's order
Gown, Mask, Goggles, Gloves
Removing PPE's order
alphabetically inside the room
For airborne precautions the mask is removed where?
outside of the room
Avoid answers with what words for children 9 mths and younger?
build, sort, stack, construct, make
Toddlers (1-3) work on
their gross motor skills (jump, hop, throw), NO fine motor, parallel play
Preschoolers (3-6) work on
fine motor, balance (tumbling, dance, tricycle), cooperative play, pretend
Hyperthyroidism is also called
Grave's disease or hypermetabolism
Tip to remember Grave's disease s/s's
"Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold
tolerance, hot intolerance
Treatment for Grave's disease
Radioactive Iodine, PTU (put thyroid under), surgically remove
Total thyroidectomy ... totals get
tetany, need lifelong hormone replacement
After thyroidectomy patients are at risk for
hypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so tetany,
parasthesia
parathesia
numbness and tingling, first sign of electrolyte imbalance
Subtotal thyroidectomy ... subs get
storm
S/S of thyroid storm
,Extremely high vital signs, hyperpyrexia, psychotic delerium
How to treat thyroid storm
give o2, lower temp to spare brain
Risks post op for total thyroidectomy
airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy
airway, hemorrage for 1st 12 hours then for 12-48 hours thyroid storm
Hypothyroidism is also called
Myxedema or hypometabolism
S/S of mydexema
everything is down, constipation, heat tolerance, cold intolerance
Treatment for mydexema
give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient
neck pits groin
,If you cool a patient too fast what might happen?
Heart arrythmias
Never hold the hormone for what patient?
patient who is NPO with mydexema
Addison's disease easy way to remember
Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember
A in Adrenal stands for Addison's
C in Cortex stands for Cushing's
Addison's disease is
undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock very easily.
STRESS can trigger.
Addison's disease treatment
give a steroid, chronic steroid therapy
Cushing's syndrome
Over secretion of adrenal cortex, too much hormone, too much steroid.
S/S of Cushing's syndrome
, same as steroid use ... moon face, think cushman "I'm mad I have an infection", high blood sugar,
losing Potassium,
Treatment for Cushing's syndrome
Surgery, bi or uni lateral adrenalectomy (bilateral is worse)
Donning PPE's order
Gown, Mask, Goggles, Gloves
Removing PPE's order
alphabetically inside the room
For airborne precautions the mask is removed where?
outside of the room
Avoid answers with what words for children 9 mths and younger?
build, sort, stack, construct, make
Toddlers (1-3) work on
their gross motor skills (jump, hop, throw), NO fine motor, parallel play
Preschoolers (3-6) work on
fine motor, balance (tumbling, dance, tricycle), cooperative play, pretend
