front 1 parathyroid glands control what? | back 1 the amount of calcium in our blood and bones |
front 2 hypoparathyroidism | back 2 body is producing low levels of parathyroid hormone -resulting in a drop in blood calcium levels |
front 3 S/S of hypoparathyroid | back 3 tingling, numbness, spasms of the larynx/bronchospasm ,etc. |
front 4 tentany | back 4 serious sign resulting from low serum calcium levels |
front 5 S/S of tentany | back 5 numbness/tingling, cardiac arrhythmia's, seizures |
front 6 chvosteks sign (signs of hypocalcemia) | back 6 muscle irritability when the facial nerve is gently tapped -nerve is located in front and just below the ear (twitching facial muscle occurs) |
front 7 trousseaus sign (occurs with hypocalcemia) | back 7 a positive trousseaus sign will present as a carpool spasm |
front 8 diagnosis for hypoparathyroidism | back 8 clinical s/s , lab tests, EKG, CT scan, bone scans |
front 9 treatment for hypoparathyroidism | back 9 iV calcium gluconate to raise serum calcium levels to normal range. -chronic PTH replacement therapy |
front 10 hyperparathyroidism | back 10 parathyroid gland produces to much PTH, which causes serum calcium levels to rise -elevated calcium and decrease phosphate. |
front 11 S/S of hyperparathyroidism | back 11 can be mild or severe and can also be asymptomatic -confusion -skeletal changes/ osteoporosis (thinning of bones) |
front 12 to much hyperparathyroidism in the blood, causes the bones to lack calcium (T/F) | back 12 true |
front 13 adequate hydration for hyperparathyroidism is a prevention for what? | back 13 kidney stones |
front 14 diagnosis for hyperparathyroidism | back 14
|
front 15 treatment for hyperparathyroid | back 15 isotonic IV fluids and loop diuretics (ex: lasix/ furosemide) |
front 16 for hyperparathyroidism what do you want to monitor? | back 16 daily weights and I&O, serum electrolytes |
front 17 Adrenal Glands | back 17 sit on top of each kidney -composed of two parts; adrenal cortex and adrenal medulla |
front 18 adrenal cortex | back 18 secretes corticosteroids |
front 19 mineralcorticosterioids (aldosterone) | back 19 sodium and water balance |
front 20 glucocortisteroids (cortisol) | back 20 counteracts inflammatory response, stress response, needed for utilization of carbs, proteins, and fats |
front 21 adrenal gland disorder | back 21 pohechromocytoma -rare tumor of the adrenal medulla -causes severe hypertension |
front 22 adrenal gland disorder S/S FIVE H's | back 22
|
front 23 adrenal gland disorder diagnosis and treatment | back 23 diagnosis: 24 hour urine treatment: adrenalectomy (surgical removal) |
front 24 Addisons disease | back 24 decreased function of the adrenal cortex |
front 25 Addisons disease s/s | back 25 mild symptoms and not always reported or just vague.
|
front 26 Addisons disease treatment | back 26 hormone replacement therapy (LIFELONG THERAPY)
|
front 27 adrenal crisis/ Addison crisis and s/s | back 27 potentially fatal crisis S/S- weight gain -buffalo hump -moon face -amenorrhea -very hard for wounds to heal due high blood sugar |
front 28 adrenal crisis/ Addison crisis diagnosis and treatment | back 28
|
front 29 hyperparathyroid | back 29 remember to worry about bones and kidney stones |
front 30 pheochromacytama reports? | back 30 headache and sweating and palpitations -monitor blood pressure closely |
front 31 Addisons disease think | back 31 hyperkalemia |
front 32 with Addisons disease your patient would be | back 32 hypotensive, confused& tachycardic -priority= give fluids & hydrocortisone |
front 33 patient is crushings is high risk for ? | back 33 infection |
front 34 hypocalcemia S/S | back 34 tetany, muscle twitching, bronchospasm |
front 35 Addisons findings | back 35 bronze skin, hypotension, hyponatremia, and hyperkalemia |
front 36 cushings syndrome is at risk for what ? | back 36 infection, hypokalemia, osteoporosis, hypertension, and hyperglycemia |
front 37 what is most likely the cause of death in a patient with acute hypoparathyroidism ? | back 37 bronchospasms or laryngospasm |
front 38 what condition can trousseaus sign indicate ? | back 38 hypocalcemia |
front 39 what dietary recommendation is important for patients with chronic hypoparathyroidism? | back 39 consume foods high in calcium but low in phosphorus |
front 40 how can bone demineralization in hyperparathyroidism patients be stabilized? | back 40 ambulating |
front 41 what is a common finding in bone scans for patients with hyperparathyroidism? | back 41 osteoporosis/ osteopenia |
front 42 which hormone is responsible for maintaining sodium and water balance in the body? | back 42 aldosterone |
front 43 what is the primary function of cortisol? | back 43 counteract inflammatory response and stress response |
front 44 a patient is admitted after thyroidectomy and reports tingling in the lips and fingers, the nurse notes chvosteks sign, what is the priority intervention ? | back 44 administer iv calcium gluconate |
front 45 which statement by the patient with chronic hypoparathyroidism indicates correct understanding of the diet? | back 45 I should eat green leafy vegetables |
front 46 a patient with hyperparathyroidism is at risk for which complication? | back 46 kidney stones |
front 47 hyper= | back 47 high calcium, bones and stones |
front 48 hypo= | back 48 tetany |
front 49 a patient with hyperparathyroidism has a calcium level of 13.5 , what is the nurses priority action ? | back 49 administer iv fluids |
front 50 a patient with pheochromocytoma reports headache, sweating and palpitations, what is the priority nursing action? | back 50 monitor blood pressure closely |
front 51 which lab finding is expected with Addisons disease? | back 51 hyperkalemia |
front 52 a patient with Addisons disease becomes hypotensive, confused, and tachycardic. what is the priority intervention ? | back 52 give IV fluids and hydrocortisone |
front 53 what is happening? Addisons crisis, patient will drop blood pressure and become confused. | back 53 NEEDS STEROIDS |
front 54 Which assessment finding is most characteristic of Cushings ? | back 54 moon face, wound healing |
front 55 bronze skin, weight loss, hypotension = | back 55 Addisons disease |
front 56 a patient with cushings is at risk for ? | back 56 infection (high blood sugar) |
front 57 which are signs of hypocalcemia ? | back 57 bronchospasm, muscle twitching, and tetany |
front 58 which findings are expected in Addisons disease? | back 58 hypotension, bronze skin, hyponatermia, hyperkalemia |
front 59 a patient with bp of 210/110 and headache, palpations, diaphoresis. what condition should the nurse suspect? | back 59 pheochromocytoma |
front 60 a patient with cushings is at risk for which complication? | back 60 infection, hyperglycemia, hypokalemia, osteoporosis, and hypertension |