NR325 FINAL EXAM 2023

NR325 FINAL EXAM 2023 hypothyroidism unable to produce T3 or T4 s/s of hypothyroidism extreme fatigue, weight gain, low HR, hair loss, dry skin Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:04 / 0:15 Full screen management of hypothyroidism T4 (levothyroxine) replacement therapy myxedema coma (hypothyroidism) resp depression, lethargy progressing to stupor (due to untreated hypothyroid, or infection) hyperthyroidism excessive activity of the thyroid gland (TSH) s/s of hyperthyroidism nervousness, rapid pulse, exophthalmos, heat intolerance medications for hyperthyroidism methimazole, dexamethasone, beta blockers management of hyperthyroidism radioactive iodine therapy, thyroidectomy thyroid storm (hyperthyroidism) metabolic rate inc. rapidly (due to uncontrolled hyperthyroid or infections) parathyroid hormone regualtes: calcium and phosphorus hypoparathyroidism PTH deficiency caused by surgery (thyroidectomy) s/s of hypoparathyroidism tetany, numbness, tingling, stiffness, anxiety/depression (hypocalcemia, hyperphosphatemia) hypoparathyroidism has a positive: Chovestek's and Trousseau's sign management of hypoparathyroidism long term oral Ca+ supplements, Ca+ gluconate (diet low in P+) s/s of hyperparathyroidism inc. Ca+, bone decalcification, renal calculi, fatigue, n/v, HTN management of hyperparathyroidism parathyroidectomy, hydration, restrict Ca+ adrenal crisis adrenal suppression by chronic steroid use that is abruptly stopped (adrenal gland damage) Addison's disease ACTH not being released (due to autoimmune or tremors) s/s of Addisons's disease muscle weakness, anorexia, GI s/s, fatigue, dark pigmentation management of Addison's disease monitor F/E status, vitals, weight changes Cushing syndrome excessive adrenocortical activity or corticosteroid meds s/s of Cushing syndrome hyperglycemia, buffalo hump, heavy trunk, thin extremities, fragile thin skin, weakness nursing considerations for Cushing syndrome activity level, skin assessment, mental function, emotional status primary Aldosteronism excess production of aldosterone by the adrenal glands resulting in low renin levels s/s of primary Aldosteronism HTN, low K+, headache, fatigue, muscle cramps/weakness management of primary Aldosteronism surgical removal of gland, aldosterone-blocking drug