NU189 Exam 4 review Questions and Answers| New Update with 100% Correct Answers
Hyperpituitary Agromegaly
Gigantism (never fuse)
Growth plate distinguish one never fuse
Gigantism Never fuses (elongated bones)
Acromegaly (enlarged bones) enlargement of the extremities
Hypopituitary Dehydration
Addison (secondary)
amenorrhea
Headaches
Visual disturbances S/S of hyperpituitary
Test to diagnose Cushing disease Dexamethasone suppression test
Steps for a dexamethasone test NPO
Blood specimen collected (1st thing)
,Pheochromcytoma tumor of the adrenal medulla
S/S of pheochromcytoma Severe HTN & tachycardia
Catecholamine (EPI & NONEPI) What is secreted from a pheochromcytoma
SIADH (soaked inside) Excessive amounts ADH (fluid overload)
S/s of fluid over load due SIADH JVD, crackles, ABD distention
Increased specific gravity Fluid overload
Drop in urine specific gravity Fluid overload
Treatment for SIADH Tolvaptan
DI (dry inside) (primary DI) Decreased production of ADH (dilute urine)
Secondary DI TBI
Neurosurgery
Trauma
Infection
Sx
Dipsogenic DI Excessive fluid intake
, Nephrogenic DI kidneys don't respond properly to ADH
Drug related DI Lithium, demeclocycline
S/S OF DI Dehydration
For someone with DI, check vital signs for Tachycardia and hypotension
Treatment for DI DDAVP (desmopressin)
Therapeutic response for DI Decrease urine output
Hallmark sign of DI polyuria (increased urine)
When a pt receives regular insulin when to check to hypoglycemia (remember peak hours so
check in 3 hours) 1000
Why are DM patients prone to infection Elevated glucose increase the chance for bacteria
growth
Normal HgbA1c Less than 7 is good
PRIORITY for someone with retinopathy Make sure BG is maintained
Things to do for those with retinopathy Eye exam
Adequate light to see
Hyperpituitary Agromegaly
Gigantism (never fuse)
Growth plate distinguish one never fuse
Gigantism Never fuses (elongated bones)
Acromegaly (enlarged bones) enlargement of the extremities
Hypopituitary Dehydration
Addison (secondary)
amenorrhea
Headaches
Visual disturbances S/S of hyperpituitary
Test to diagnose Cushing disease Dexamethasone suppression test
Steps for a dexamethasone test NPO
Blood specimen collected (1st thing)
,Pheochromcytoma tumor of the adrenal medulla
S/S of pheochromcytoma Severe HTN & tachycardia
Catecholamine (EPI & NONEPI) What is secreted from a pheochromcytoma
SIADH (soaked inside) Excessive amounts ADH (fluid overload)
S/s of fluid over load due SIADH JVD, crackles, ABD distention
Increased specific gravity Fluid overload
Drop in urine specific gravity Fluid overload
Treatment for SIADH Tolvaptan
DI (dry inside) (primary DI) Decreased production of ADH (dilute urine)
Secondary DI TBI
Neurosurgery
Trauma
Infection
Sx
Dipsogenic DI Excessive fluid intake
, Nephrogenic DI kidneys don't respond properly to ADH
Drug related DI Lithium, demeclocycline
S/S OF DI Dehydration
For someone with DI, check vital signs for Tachycardia and hypotension
Treatment for DI DDAVP (desmopressin)
Therapeutic response for DI Decrease urine output
Hallmark sign of DI polyuria (increased urine)
When a pt receives regular insulin when to check to hypoglycemia (remember peak hours so
check in 3 hours) 1000
Why are DM patients prone to infection Elevated glucose increase the chance for bacteria
growth
Normal HgbA1c Less than 7 is good
PRIORITY for someone with retinopathy Make sure BG is maintained
Things to do for those with retinopathy Eye exam
Adequate light to see
