Term
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Definition
manifestations of sexual development before the age of 9 in boys, 8 in girls
More common in girls
PREMATURE activation of Hypothalamic-Pituitary-Gonadal Axis
Leads to premature skeletal maturation (short stature) |
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Term
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Definition
Monthly inj leuprolife acetate (Lupron)
OR nafarelin acetate (Synarel) Intra-nasaly BID
GH |
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Term
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Definition
| delayed growth/ mental retardation, decreased metabolic rate |
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Term
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Definition
thick, protruding tongue, thick lips
hypotonia
Respiratory Distress
Hypothermia
cool extremeties, mottling, pallor
Umbilical hernia
difficulty feeding
hoarse cry
constipation
lethargy |
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Term
| Hypothyroidism Complications |
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Definition
Retarded Skeletal growth
Delayed erruption of teeth
Mental Retardation
Ataxia
Strabismus |
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Term
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Definition
Newborn screening
Repeated screening at 1-2 weeks
decreased T4
normal T3
increased TSH |
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Term
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Definition
Levothyroxine (Synthroid)
increase gradually
Ca Supplements
NO soy formula (decreases Synthroid absorption) |
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Term
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Definition
Autoimmune disease- destruction of the pancreatic Beta Cells, which produce insulin
can be genetically predisposed (born with it but activated later by something, ie. viral INFX
Peak incidence 5-15, 5-7 yrs
DMII- can take oral meds |
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Term
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Definition
| polyphagia, polydipsia, polyuria, wt loss, enuresis, irritability, fatigue, lethargey, confusion, N/V, dehydration, flushing, acetone breathe, glucose >250 |
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Term
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Definition
fasting glucose >126
random glucose >200
Ketones- in blood or urine
Pre-DM: fasting glucose 100-125 |
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Term
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Definition
Basal-Bolus dosing:
Basal- Lantus, Levenir
Bolus- Novolog, Humalog, Apidra
Bolus Dosing:
Insulin to Carb (1:20)
Correction Factor (1:50 over 150)
checked before eating
Pump Therapy |
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Term
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Definition
MIN QID, more often ~12
anytime s/s of hypoglycemia
before PE
Hemoglobin A1c q3months (<7.5-8%)
check qweek at 12am, 3am (check long acting dose) |
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Term
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Definition
<70-80 c S/S
Rule of 15
15g fast acting carbs
recheck in 15 mins
15 carbs: 1/2 cup juice, cup milk, glucose tabs
DO NOT use cookies, cakes, candies because have fat also
Glucagon Emergency Kit if unable to swallow (turn to side for aspiration)
>1hr before eating : follow with protein |
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Term
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Definition
tell difference between S/S of misbehavior and hypoglycemia
encourage child to report 'funny feelings'
Expect food jags- don't dose until eaten
give choice c inj site, food choices |
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Term
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Definition
reassure child NOT a punishment
encourage child to participate in simple tasks (alcohol swab, inj site)
teach to report 'lows' to an adult
teach child what to eat when 'low' |
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Term
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Definition
Educate school personnel
encourage age apporpriate independence
BUT monitor ALL ACTIVITIES
encourage extra-cirricular activities, social groups
11-12 able to perform an occasional injection |
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Term
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Definition
more capable of self-care activities
know which foods to fit into meal plan and how to adjust
more willing to perform multiple injections
needs continued parental support |
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Term
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Definition
life-threatening
relative or absolute insulin deficiency
Cause: new diabetics, omission of insulin, trauma, stress, INFX |
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