NSG 4800 Comp 2 || Acknowledged Answers 100%.
hyperthyroidism correct answers Causes: Graves, Thyroiditis
Symptoms: Heat intolerance, tachycardia, weight loss, increased systolic BP, Goiter
Treatment: PTU, Methamazole (pregnant?), radioactive iodine therapy, thyroidectomy
thyroidectomy correct answers keep trach at bedside (stridor, laryngeal spasms)
may experience hypocalcemia (Chevosteks and Trousseaus)
Calcium gluconate at the bedside
thyroid storm correct answers Symptoms: fever (1 degree elevated is an emergency),
Tachycardia, Systolic hypertension
Treatment: PTU and Methimazole, hydrocortisone, prednisone, cooling blankets
hypothyroidism correct answers causes: autoimmune disease, medications, and thyroid surgery
symptoms: cold intolerance, weight gain, dry skin, brittle nails and hair, hair loss, constipation
treatment: levothyroxine (Synthroid) go low and slow, am in the morning 30 mins before meals,
do not take fiber, monitor for chest pain
mxydema coma correct answers Causes: stopping levothyroxine, surgery, chemo, acute illness
Symptoms: hypothermia, hypotension, high morbidity rate
treatment: Mechanical ventilation, warm blankets, IV levothyroxine, IV glucose
hyperparathyroidism correct answers 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 answers 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 answers 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 answers 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 answers 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 answers Causes: precipitated by physical or emotional stress, the sudden
withdrawal of hormone.
Treatment: hyperkalemia replacement, hormone replacement
cushings syndrome correct answers 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 answers 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 answers >2
halo vision, n/v, EKG change
digibind is the antidote
elderly pts (decreased renal and liver fxn) and CCBs
Burns correct answers Rule of nines
foley (more than 30mL/hr)
IV meds only
Fluid resuscitation immediately
Parkland formula correct answers 4 X 100kg X 45% = 18000
1800/2 = 1125mL/hr for 8 hours
Acute Phase correct answers Hgb and Hct are low
Low K and Low Na
Increase urine output
Emergent Phase correct answers Dehydration
Decreased urine output
Hgb and Hct are elevated
BUN and Creatine are elevated
High K and Low Na
hyperthyroidism correct answers Causes: Graves, Thyroiditis
Symptoms: Heat intolerance, tachycardia, weight loss, increased systolic BP, Goiter
Treatment: PTU, Methamazole (pregnant?), radioactive iodine therapy, thyroidectomy
thyroidectomy correct answers keep trach at bedside (stridor, laryngeal spasms)
may experience hypocalcemia (Chevosteks and Trousseaus)
Calcium gluconate at the bedside
thyroid storm correct answers Symptoms: fever (1 degree elevated is an emergency),
Tachycardia, Systolic hypertension
Treatment: PTU and Methimazole, hydrocortisone, prednisone, cooling blankets
hypothyroidism correct answers causes: autoimmune disease, medications, and thyroid surgery
symptoms: cold intolerance, weight gain, dry skin, brittle nails and hair, hair loss, constipation
treatment: levothyroxine (Synthroid) go low and slow, am in the morning 30 mins before meals,
do not take fiber, monitor for chest pain
mxydema coma correct answers Causes: stopping levothyroxine, surgery, chemo, acute illness
Symptoms: hypothermia, hypotension, high morbidity rate
treatment: Mechanical ventilation, warm blankets, IV levothyroxine, IV glucose
hyperparathyroidism correct answers 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 answers 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 answers 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 answers 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 answers 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 answers Causes: precipitated by physical or emotional stress, the sudden
withdrawal of hormone.
Treatment: hyperkalemia replacement, hormone replacement
cushings syndrome correct answers 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 answers 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 answers >2
halo vision, n/v, EKG change
digibind is the antidote
elderly pts (decreased renal and liver fxn) and CCBs
Burns correct answers Rule of nines
foley (more than 30mL/hr)
IV meds only
Fluid resuscitation immediately
Parkland formula correct answers 4 X 100kg X 45% = 18000
1800/2 = 1125mL/hr for 8 hours
Acute Phase correct answers Hgb and Hct are low
Low K and Low Na
Increase urine output
Emergent Phase correct answers Dehydration
Decreased urine output
Hgb and Hct are elevated
BUN and Creatine are elevated
High K and Low Na
