Is potassium high or low in hypoglycemia
high
boosts energy so you can handle stress
cortisol
high blood sugar leads to
poor wound healing
High potassium can lead to
heart problems (put pt on tele)
Treat low sodium with
hypertonic solutions
How do you treat high sodium
Drink fluids
4 liters of output in 24 hours, you start thinking about
diabetes insipidus
What does the posterior pituitary gland produce
ADH and oxytocin
age related changes of the endocrine system
slower metabolism
decrease in size of pituitary glands
changes in secretion of hormone production
,enlarged bones
acromegaly
elongated bones
gigantism
shrek face
acromegaly
floss and rinse but do not brush for 2 weeks after what sx
hypophysectomy
most common cause of dwarfism and hypopituitarism
tumor
High ADH means you are ____________ fluids
retaining
low ADH means you are ___________________ fluids
excreting
SIADH symptoms
(SIS)
Seizures
increased BP
sticky urine
DI symptoms
(DDD)
decreased BP
,Dry skin
diluted urine
nephrogenic DI
when kidneys dont respond to ADH
primary DI
defect in the hypothalamus or pituitary (lack of ADH)
secondary DI
caused by tumors, trauma, infection or sx
drug related DI
due to lithium or diclomycin or kiney disease
you are considered DI if your urine output is less than
4liters in 24 hours
central DI
infections, sx, trauma, brain tumors, head injury
dipsogenic DI
caused by excessive water intake (SOMETIMES
ASSOCIATED WITH SCHIZOPHRENIA)
POLYDIPSIA
excessive thirst
POLYURIA
excessive urination
Desmopressin (DDAVP)
, synthetic vasopressin available as a nasal spray, tablet, or IV for
ADH replacement
Vasopressin
IV administration to supplement natural ADH
When do you give DDAVP
DI
when do you give tolvaptan
SIADH
RESTRICT SODIUM WITH
DI
REPLACE SODIUM WITH
SIADH
QAdrenal cortex makes
corticoids
androgens
sex hormones
Hypoglycemia is hypo everything except
hyperkalemia
hyperglycemia is hyper everything except
hypokalemia
purpose of cortisol is to