Shared Flashcard Set

Details

endocrine
ccrn
36
Nursing
Undergraduate 4
11/03/2009

Additional Nursing Flashcards

 


 

Cards

Term
characteristics of type I DM
Definition
under age 30, thin ,
Term
characteristics of type 2
dm
Definition
increased age,>30. obesity and sedentary lifestyle.
Term
DKa usually occurs in
Definition
type I and also possible in type 2
Term
stress hormones
Definition
cortisone, glucogon, catecholamines, growth hormone
Term
s/s of DKA
Definition
poly urea,polydipsia, polyphagia blurred vision, weight loss
Term
plasma glucose in DKa and HHNK
Definition
in DKA >300 and in HHNK >600
Term
treatments for DKA
Definition
1. IV fluid replacement (NS or 1/2 Ns in 1st hour then add D5W
2. insulin IV
3. k replacement.
4 Bicarb drip only if pH <7
Term
hhnk precipitating factors
Definition
elderly dehydrated patient, type 2,
Term
Ketones in DKA and HHNK
Definition
DKA ketones present...HHNk ketones absent
Term
ph in DKA andHHNK
Definition
DKA ph low...HHKN ph normal
Term
normal serum osmolality
Definition
285- 290
Term
ADH produced by
Definition
posterior pituitary gland
Term
Production of ADH stimulated by
Definition
increased plasma osmolality, hypoxia, hypovolemia, hypotension
Term
pathologic increase in ADh
Definition
SIADH
Term
pathologic decrease in ADh
Definition
Diabetes insipidus
Term
neurogenic DI
Definition
unable to produce ADH by pituitary glands in respons to high serum osmolality
Term
nephrogenic DI
Definition
kidneys unable to respond to ADH and hold on to urine.
Term
s/ DI
Definition
increased serum osmolality decreased urine osmolality, hypernatremia
Term
hypernatremia is an indicative of
Definition
dehydration
Term
tx for central Di
Definition
aqueous pitressin, lysine vasopressin, ddavp
Term
tx for nephrogenic DI
Definition
chlorpropamide (stimulates ADH release)
Term
tx for nephrogenic DI
Definition
chlorpropamide (stimulates ADH release)
Term
Lab findings of SIADh
Definition
hyponatremia, decreased serum osmolality, increased urine osmolality,
Term
SIADH precusions for
Definition
seizure
Term
main tx for SIADH
Definition
treat the underline cause
Term
what is the most important next step after administration of glucogon
Definition
position th epatient to avoid aspiration. .. It is common for person treated with glucogon to vomit.
Term
person receiving enteral feeding is at risk of
Definition
HHNK
Term
route of glucogone injection
Definition
IM ... DO NOT give IV.
Term
normal serum osmolarity
Definition
275 - 295
Term
Major complication of DI
Definition
hypovolumic shock
Term
Malor complication of SIADH
Definition
seizure
Term
In Di
Definition
hypernatremia, serum osmolarity >295, urine specific gravity 1.001 to 1.005
Term
DI can be from
Definition
TPN therapy, pancreatitis, thiazide or steroid therapy
Term
AMS in DI HHNK results from
Definition
intra cerebral dehydration
Term
Kussmal respirations presents only in
Definition
DKA not in HHNK
Term
Azotemia
Definition
temporary increase in BUN and Cr d/t dehydration
Supporting users have an ad free experience!