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