what does the thyroid gland produce?
thyroxine, triiodothyronine, and calcitonin
myxedema
occurs during adult life
glucocorticoids
causes high glucose (hyperglycemia)
mineralocorticoids
used to treat adrenal insufficiency caused by hypopituitarism or Addisons disease
people on steroids, educate them to stay away from crowds of people, high risk of getting sick.
(t/f)
True
premedication assessment
check for electrolyte imbalance, record I&O, check for signs of infections
patients on steroids, have a slower healing process
(T/f)
true
(questions regarding steroids)
is it true if you stop the steroid abruptly, your patient Is at risk for adrenal problems?
yes
when your on steroids, how often should you check your blood sugar?
1-2 times a day
also- monitor I&O, insulin may be required
-additional doses may be needed if patient experiences stress, accidental injury, wear ID bracelet
fludrocorisone (florinef)
affects fluid and electrolyte balance, causing sodium and water retention
-treats of adrenal insufficiency, Addisons disease.
adverse effect: sodium up and potassium down
glucocorticoids
anti-inflammatory, anti-allergenic, immunosuppression.
adverse effects of glucocorticoids
fluid accumulation, susceptible to infection, hyperglycemia, petic ulcer, delayed wound healing, osteoporosis, and sleep disturbances.
drug interactions for glucocorticoids
diuretics, warfarin, oral hypoglycemic agents or insulin
glucocorticoids inhaler administration is NOT a rescue inhaler
(T/F)
true
prednisone is most commonly used how?
oral form followed by dexamethasone
steroid taper
abrupt discontinuation of therapy may result in adrenal insufficiency.
S/S of steroid taper
fever, malaise, fatigue, weakness
type 1 diabetes
no insulin secretion from pancreas
-insulin dependent (born with it)
type 2 diabetes
insulin resistance (brought it upon themselves)
gestational diabetes
abnormal glucose tolerance during pregnancy
treatment gestational diabetes
prevent ketoacidiosis and hypoglycemia
when your patient is sick and not eating, they still have to take their insulin because when you are sick , your glucose gets high.
(t/f)
true
glucogon
patient needs to be turned to the Side, cause ,medicine will shoot up and cause the patient to vomit
rapid acting insulin
...