QUESTIONS AND ANSWERS SURE A+
✔✔NGT care - ✔✔- Check both nares before inserting NGT
* Measure for placement= Nose > Ear > Xiphoid
- ONly use part of plunger for meds which go by gravity
- Don't use plunger to push tube feeding in
- Use water soluble lubricant
- Anchor tube
✔✔Thyroid Imbalances: Hypothyroidism - ✔✔- Fatigue
- Increased sensitivity to cold
- Constipation
- Dry skin
- Weight gain
- Puffy face
- Slowed HR
- Decrease cardiac output
** INTERVENTIONS**
- Laxative and stool softner
- rest periods for fatigue
- Monitor HR and BP (low)
, - Low fat diet
* Levothyroxine med*
✔✔hyperthyroidism/ grave's disease - ✔✔- Protruding eyeballs
- weight loss
- diarrhea
- pretibal myexedema - abnormally thick and waxy skin over the shin
- heat intolerance
✔✔Thyroidectomy - Semi fowler's - ✔✔- Trach tray at bed side
- watch for bleeding
- Horse voice
- Laryngeal spams
- Hypocalcemia
- Hypothyroidism
✔✔Thyroid Storm - ✔✔- Elevated BP
- Elevated Temp
- Delirium, Confused
✔✔Adrenal imbalanced - ✔✔- Cushing's Disease - too much secretion of ACTH from
pituary gland (Causes tumors of pituary or adrenal gland)
- Addison's disease- produce too little cortisol and often too little aldosterone
✔✔Signs of Cushing's syndrome - ✔✔- Hirsutism
- Moon face
- Buffalo Bump
- Weight gain
- purple striae
- Hypokalemia
- hyperglycemia
- Hypertension
✔✔Signs of Addison's disease - ✔✔- Weakness
- Fatigue
- Orthostatic Hypotension
- Severe headaches
- Joint Pain
- Skin hyperpigmentation
- hypoglycemia
- hyperkalemia
✔✔Addison's Crisis - ✔✔- Hypoglycemia
- Hyponatremia
- Hyperkalemia