NR 325 Exam 1 2023

NR 325 Exam 1 2023 What are some signs and symptoms of hypothyroidism? Whats another name for hypothyroidism? - CORRECT ANSWERSHashimotos Everything is low and slow - Weight gain - Cold intolerant - Depressed, fatigue - Bradycardia - Constipation - Hair loss, dry skin What can happen if hypothyroidism progresses - CORRECT ANSWERSMyxedema Patient will need: - Mechanical ventilation - Cardiac monitoring - Monitor temperature What medication would we give to a patient with hypothyrodism? How should we give the medication? - CORRECT ANSWERSSynthroid (Levothyroxine) - Should be given in the morning before meals - Take independently before anything else What is hyperthyroidism? What are some signs and symptoms? What is another name for hyperthyroidism - CORRECT ANSWERSGraves disease Everything is really fast. - Tachycardia - Intolerant to heat; hot and sweaty - Weight loss - Budging of the eyes, exopthalamos - Moon face - Buffalo hump and red face What can hyperthyroidism lead to? - CORRECT ANSWERSThyroid ström Watch for agitation and confusion What medications and treatments can we do to treat hyperthyroidism? - CORRECT ANSWERSMedications - PTU: Propylthiouracil - Methimazole (Tapzole) - Beta blockers (olol) Treatment - Radioactive Iodine What are we concerned with when a patient is reciting radioactive iodine for treatment of hyperthyroidism? - CORRECT ANSWERSRadioactive iodine kills the kidney. Treatment may take months. - We are worried about kidney function What lab value would we need to watch if we remove the thyroid? - CORRECT ANSWERSHypocalcium. - Trousseaus and Chvostek The thyroids job is to secrete calcitonin thus if its removed the calcium levels would be low What is diabetes insipidus? - CORRECT ANSWERS"Dry inside" Not enough ADH, pituitary gland What are signs and symptoms of diabetes insipidus - CORRECT ANSWERSLarge amounts of dilute urine Three Ps: *Polyuria *Polydipsia -Peeing out a lot: Dry inside "Dehydrated" What would you expect the blood and urine osmolarity in a diabetes insipidous patient? - CORRECT ANSWERS- Decrease urine specific gravity (Less than 1.005) - Decrease urine osmolarity - Increase blood osmolarity. Thick serum blood - Hypernatremia What medication would we given a patient with Diabetes insipidus? - CORRECT ANSWERSDesmopression or vasopressin - Holds in urine What should we assess in a patient receiving Desmopression or vasopression - CORRECT ANSWERSHeadaches due to an increase in blood pressure When should we given Desmopression? - CORRECT ANSWERSGiven at night to prevent night time urination For diabetes insipidus patients, what sodium levels is expected? - CORRECT ANSWERSHypernatreamia because the patient is dehydrated. What is SIADH? What are we worried about? - CORRECT ANSWERS"Soaked inside"