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ENDOCRINE SYSTEM NOTES/REVIEWER FOR PNLE
- 1. TOPRANK |Nursing Endocrine Disorders By: Keith Kainne “D” Garino, RN, LPT, MAEd
- 4. TOPRANK |Nursing Hypothyroidism Hyperthyroidism Findings T3 & T4 TSH Metabolism Body Weight Appetite GIT Heat Production Skin SNS Vital Sign Severe form
- 6. TOPRANK |Nursing Hypothyroidism Hyperthyroidism Findings Hashimoto’s Exophthalmos High T3 & T4 High TSH Low Metabolism High Body Weight Low Appetite Diarrhea Cold Intolerance Dry Lethargy Tachycardia Myxedema coma
- 10. TOPRANK |Nursing Hypoparathyroidism Hyperparathyroidism Findings Tumor Low PTH Low Calcium Low Phosphorus Trousseau’s Muscle weakness Tetany Constipation Pathologic fracture Hypotension Polyuria Renal calculi Seizure
- 11. TOPRANK |Nursing Hypoparathyroidism Hyperparathyroidism Interventions DOC Calcium diet Phosphorus diet Fluids Fiber Activity
- 12. TOPRANK |Nursing Adrenal Glands Parts: 1. Medulla • • 2. Cortex • • •
- 13. TOPRANK |Nursing Adrenal Cortex 1. Glucocorticoids • Natural release • Sugar • Stress • Suppress • Proteins • Blocks
- 14. TOPRANK |Nursing Adrenal Cortex 2. Mineralocorticoids • Na and H2O • K 3. Androgen
- 15. TOPRANK |Nursing Addison’s Cushing’s Findings Cause Appearance • Sugar • Stress resistance • Suppression of immunity • Protein Break-down • Skin & Extremities • Blocks Calcium • Sugar • Stress resistance • Suppression of immunity • Protein Break-down • Skin & Extremities • Blocks Calcium Glucocorticoids
- 16. TOPRANK |Nursing Addison’s Cushing’s Findings • Na & H2O • K • Na & H2O • K Mineralocorticoids Androgen
- 18. TOPRANK |Nursing Addison’s Cushing’s Findings Moon face Buffalo hump Bronze skin Truncal obesity Hypoglycemia Poor resistance to stress Thin skin Hypercalcemia Hyponatremia FVE Hyperkalemia Hirsutism
- 19. TOPRANK |Nursing Addison’s Cushing’s Interventions • • M • M • K DOC Glucose changes Avoid Calcium diet Na & H2O intake K Diet Disturbed Body image
- 21. TOPRANK |Nursing DI SIADH Findings Cause ADH Fluid Status Serum Sodium Urine Output Urine Specific Gravity Concentration of urine
- 23. TOPRANK |Nursing 1. Hypertension 2. Weight gain 3. Flat neck veins 4. Crackles 5. Altered LOC 6. Edema 7. Tachycardia 8. Poor skin turgor 9. Dry skin 10. Distended neck vein 11. Sunken eyeball 12. Hypotension
- 24. TOPRANK |Nursing DI SIADH Findings High ADH FVD Hypernatremia Oliguria High USG Dilute urine Polydipsia Cerebral Edema
- 25. TOPRANK |Nursing DI SIADH Intervention • A • D • D Medications Fluid intake • D • I • E Monitor Complications
- 28. TOPRANK |Nursing DM1 & DKA
- 29. TOPRANK |Nursing DM2 & HHNS
- 30. TOPRANK |Nursing HHNS DKA Findings Cause Blood glucose Serum osmolarity Blood pH Bicarbonate Ketonuria Glycosuria
- 32. TOPRANK |Nursing DKA & HHNS
- 34. TOPRANK |Nursing