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Pathophysiology for Nurses II |
Guide Questions and Answers |
Grade A | 100% Correct – Galen
Question:
What to test for hyperthyroidism
Answer:
Thyroid autoantibodies
Question:
Labs for hyperthyroidism
Answer:
Low TSH
Elevated Free T4
Elevated Free T3
,Question:
Pt will c/o of vision changes and photophobia with
Answer:
hyperthyroidism
Question:
is a form of life-threatening thyrotoxicosis that occurs when excessive
amounts of thyroid hormones are acutely released into the circulation.
can be caused by a sudden stop of corticosteroids
Answer:
Thyroid storm
Question:
CM of thyroid storm
Answer:
Elevated temperature
Significant tachycardia
Cardiac dysrhythmias
Congestive heart failure
Extreme restlessness
Agitation
Psychosis may occur
,Prompt treatment of thyroid storm is required usually with a betablocker =
propanolol
Question:
Hypoparathyroidism manifestations
Answer:
Paresthesias of the fingertips, toes, and lips
Muscle twitching or spasms (tetany)
Fatigue or weakness
Dysrhythmias
Hypotension
Abdominal cramping
Diarrhea
Painful menstruation
Patchy hair loss
Dry, coarse skin
Brittle nails
Anxiety or nervousness
Headaches
Depression or mood swings
Memory loss
SEIZURES
, Question:
Inadequate levels of circulating cortisol & aldosterone
Answer:
Addisons disease
Question:
Primary cause of primary Addisons disease
Answer:
-Caused by destruction of the adrenal cortex through idiopathic or
autoimmune mechanisms
-Tuberculosis
-Trauma
-Hemorrhage of the adrenals (often associated with anticoagulant therapy)
-Fungal disease (e.g., histoplasmosis)
-Neoplasia
-Symptoms of adrenal insufficiency may not be recognized until 90% of the
cortical tissue has been rendered nonfunctional.