NSG 4800 Comp 2 2026 With Complete Solutions
thyroidectomy - CORRECT ANSWER✔✨-keep trach at bedside (stridor, laryngeal spasms)
may experience hypocalcemia (Chevosteks and Trousseaus)
Calcium gluconate at the bedside
thyroid storm - CORRECT ANSWER✔✨-Symptoms: fever (1 degree elevated is an emergency),
Tachycardia, Systolic hypertension
Treatment: PTU and Methimazole, hydrocortisone, prednisone, cooling blankets
mxydema coma - CORRECT ANSWER✔✨-Causes: stopping levothyroxine, surgery, chemo, acute
illness
Symptoms: hypothermia, hypotension, high morbidity rate
treatment: Mechanical ventilation, warm blankets, IV levothyroxine, IV glucose
hyperparathyroidism - CORRECT ANSWER✔✨-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 - CORRECT ANSWER✔✨-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 - CORRECT ANSWER✔✨-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 - CORRECT ANSWER✔✨-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 - CORRECT ANSWER✔✨-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 - CORRECT ANSWER✔✨-Causes: precipitated by physical or emotional stress, the
sudden withdrawal of hormone.
Treatment: hyperkalemia replacement, hormone replacement
cushings syndrome - CORRECT ANSWER✔✨-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
phenochromocytoma - CORRECT ANSWER✔✨-Causes: catecholamine-producing tumor
Symptoms: HTN, palpitation, diaphoresis, flushing, impending doom
Treatment: DO NOT PALPATE ABDOMEN, don't smoke or drink, avoid foods high in tyramine (red wine,
dried meat, chocolate, and cheese)
dig toxicity - CORRECT ANSWER✔✨->2
halo vision, n/v, EKG change
digibind is the antidote
elderly pts (decreased renal and liver fxn) and CCBs
Burns - CORRECT ANSWER✔✨-Rule of nines
, foley (more than 30mL/hr)
IV meds only
Fluid resuscitation immediately
Parkland formula - CORRECT ANSWER✔✨-4 X 100kg X 45% = 18000
1800/2 = 1125mL/hr for 8 hours
Acute Phase - CORRECT ANSWER✔✨-Hgb and Hct are low
Low K and Low Na
Increase urine output
Emergent Phase - CORRECT ANSWER✔✨-Dehydration
Decreased urine output
Hgb and Hct are elevated
BUN and Creatine are elevated
High K and Low Na
Compartment Syndrome - CORRECT ANSWER✔✨-6 ps:
Pain
Pallor
Polar
Pulselessness
Paresthesia
Paralysis
social smile - CORRECT ANSWER✔✨-6-8 weeks
head control - CORRECT ANSWER✔✨-3-4 months
thyroidectomy - CORRECT ANSWER✔✨-keep trach at bedside (stridor, laryngeal spasms)
may experience hypocalcemia (Chevosteks and Trousseaus)
Calcium gluconate at the bedside
thyroid storm - CORRECT ANSWER✔✨-Symptoms: fever (1 degree elevated is an emergency),
Tachycardia, Systolic hypertension
Treatment: PTU and Methimazole, hydrocortisone, prednisone, cooling blankets
mxydema coma - CORRECT ANSWER✔✨-Causes: stopping levothyroxine, surgery, chemo, acute
illness
Symptoms: hypothermia, hypotension, high morbidity rate
treatment: Mechanical ventilation, warm blankets, IV levothyroxine, IV glucose
hyperparathyroidism - CORRECT ANSWER✔✨-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 - CORRECT ANSWER✔✨-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 - CORRECT ANSWER✔✨-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 - CORRECT ANSWER✔✨-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 - CORRECT ANSWER✔✨-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 - CORRECT ANSWER✔✨-Causes: precipitated by physical or emotional stress, the
sudden withdrawal of hormone.
Treatment: hyperkalemia replacement, hormone replacement
cushings syndrome - CORRECT ANSWER✔✨-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
phenochromocytoma - CORRECT ANSWER✔✨-Causes: catecholamine-producing tumor
Symptoms: HTN, palpitation, diaphoresis, flushing, impending doom
Treatment: DO NOT PALPATE ABDOMEN, don't smoke or drink, avoid foods high in tyramine (red wine,
dried meat, chocolate, and cheese)
dig toxicity - CORRECT ANSWER✔✨->2
halo vision, n/v, EKG change
digibind is the antidote
elderly pts (decreased renal and liver fxn) and CCBs
Burns - CORRECT ANSWER✔✨-Rule of nines
, foley (more than 30mL/hr)
IV meds only
Fluid resuscitation immediately
Parkland formula - CORRECT ANSWER✔✨-4 X 100kg X 45% = 18000
1800/2 = 1125mL/hr for 8 hours
Acute Phase - CORRECT ANSWER✔✨-Hgb and Hct are low
Low K and Low Na
Increase urine output
Emergent Phase - CORRECT ANSWER✔✨-Dehydration
Decreased urine output
Hgb and Hct are elevated
BUN and Creatine are elevated
High K and Low Na
Compartment Syndrome - CORRECT ANSWER✔✨-6 ps:
Pain
Pallor
Polar
Pulselessness
Paresthesia
Paralysis
social smile - CORRECT ANSWER✔✨-6-8 weeks
head control - CORRECT ANSWER✔✨-3-4 months
