What is the number 1 cause of hypothyroidism?
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hashimotos
S&S of SIADH
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fluid overload
sticky thick urine
high urine specific gravity
hyponatremia
HTN
tachycardia
seizures
headache
, confusion
decreased UOP
anorexia
What disease is associated with hyperthyroidism?
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Graves disease
What are the early signs of a thyroid storm?
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agitation, confusion and restlessness
diabetes insipidus (DI)
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antidiuretic hormone (ADH) is not secreted, or there is a resistance of the
kidney to ADH
What is the priority action to take for a pt in myxedema coma?
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, place a tracheostomy kit at the bedside for emergency intubation
Causes of Cushing's
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Steroids -sone (long term therapy)
Tumors (pituitary or adrenal)
Small cell lung cancer
Tx of Cushing
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Control the causes
(cut out the tumor or decrease the dose of steroids given)
What is important to assess following a thyroidectomy?
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stridor, noisy breathing, hoarseness and weak voice, bleeding around
incision, calcium levels (may get low)
Why do steroids need to be decreased slowly when a pt is taking them?
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abruptly stopping will send the patient into Addisonian Crisis (BP so low it
will cause death)
S&S of DI
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high UOP
diluted urine
low urine specific gravity
dry skin and mucous membranes
hypernatremia
polydipsia
low blood pressure
tachycardia
confusion
anorexia
What two conditions are related to ADH?
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SIADH and Diabetes Insipidus
A pt with hyperthyroidism should have what kind of diet?
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Give this one a try later!
hashimotos
S&S of SIADH
Give this one a try later!
fluid overload
sticky thick urine
high urine specific gravity
hyponatremia
HTN
tachycardia
seizures
headache
, confusion
decreased UOP
anorexia
What disease is associated with hyperthyroidism?
Give this one a try later!
Graves disease
What are the early signs of a thyroid storm?
Give this one a try later!
agitation, confusion and restlessness
diabetes insipidus (DI)
Give this one a try later!
antidiuretic hormone (ADH) is not secreted, or there is a resistance of the
kidney to ADH
What is the priority action to take for a pt in myxedema coma?
Give this one a try later!
, place a tracheostomy kit at the bedside for emergency intubation
Causes of Cushing's
Give this one a try later!
Steroids -sone (long term therapy)
Tumors (pituitary or adrenal)
Small cell lung cancer
Tx of Cushing
Give this one a try later!
Control the causes
(cut out the tumor or decrease the dose of steroids given)
What is important to assess following a thyroidectomy?
Give this one a try later!
stridor, noisy breathing, hoarseness and weak voice, bleeding around
incision, calcium levels (may get low)
Why do steroids need to be decreased slowly when a pt is taking them?
, Give this one a try later!
abruptly stopping will send the patient into Addisonian Crisis (BP so low it
will cause death)
S&S of DI
Give this one a try later!
high UOP
diluted urine
low urine specific gravity
dry skin and mucous membranes
hypernatremia
polydipsia
low blood pressure
tachycardia
confusion
anorexia
What two conditions are related to ADH?
Give this one a try later!
SIADH and Diabetes Insipidus
A pt with hyperthyroidism should have what kind of diet?
Give this one a try later!
