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COMPS endocrine
endocrine section
13
Nursing
Graduate
05/15/2015

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Cards

Term
Diagnosis of DM
Definition
1. Sx + random glucose > 200
2. FBS > 126 or random glucose > 200 on 2 separate occasions
3. 2 hour plasma glucose > 200 after 75 g of glucose load
4. HbA1C> 6 (5.7-6.4 = prediabetic)
Term
impaired glucose tolerance
Definition
FBG greater than or equal to 100 and less than or equal to 125
Term
DKA
Definition
- type 1
- serum glucose > 250 and frequently > 300
- ketonemia and/or ketonuria
Term
HHNK
Definition
Hyperosmolar, hyperglycemic, non-ketosis
- type 2
- glucose> 600 sometimes over 1000
- super dehydrated altered LOC
Term
T4 values
Definition
- Total thyroxine
- 4.8-10.4
Term
T3 values
Definition
Total triiodothyronine
- 60-181
Term
Free T4 values
Definition
0.8-2.7
Term
Free T3 values
Definition
230-420
Term
TSH
Definition
Thyrotropic hormone (TSH)
- 0.4-4
Term
most common hyperthyroidism presentation
Definition
GRAVES disease
Term
most common hypothyroidism presentation
Definition
Hashimotos thyroiditis
Term
Hyperthyroidism labs/tests
Definition
- iodine uptake scan

- HIGH uptake = graves
- LOW uptake = subacute thyroiditis
Term
Thyroid tx: hypo and hyper
Definition
Hyper: propranolol (Inderal) for sx, methimazole (Tapazole) 30-60 mg QD in 3 divided doses, PTU 300-600 mg QD in 4 doses

Hypo: Levothyroxine (Synthroid) - 50-100 mcg QD, increase dose every 1-2 weeks by 25 mcg until stable, decrease if over 60
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