COMPLETE EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /ALREADY
GRADED A+
life threatening complication of type 1 diabetes due to decreased insulin =>
results in hyperglycemia, dehydration, ketosis, kussmaul respirations, fruity
breath, and acidosis
ketoacidosis
insulin dose should be ___________ during the second trimester and insulin dose
will _________ after the delivery of the placenta
1) increased
2) decrease
high urine specific gravity results would be present in clients with
- SIDAH, Shock, and hepatorenal failure.
a measure of the concentration of solutes in the urine. it measures the ratio of
urine density compared with water density and provides information on the
kidney's ability to concentrate urine.
- reference range is 1.005-1.030
urinary specific gravity test
,Low TSH , high T4
Hyperthyroidism
high TSH, low T4
Hypothyroidism
- hypertension, palpitations, decreased libido, heat intolerance,
hepatomegaly, splenomegaly, warm moist skin, thin nails, exophthalmos,
decreased weight, increase appetite, increase bowel sounds.
manifestations of hyperthyroidism
what two pharmacological therapies are used to treat hyperthyroidism?
1) methimazole (1st choice)
2) propylthiouracil (used during first trimester of pregnancy)
why is propranolol, a beta-adrenergic blocker, sometimes used in the
treatment of hyperthyroidism?
propranolol at >160 mg/day also blocks the conversion of T4/T3
- bradycardia
- fatigue
- exacerbations of PVD
- hypotension
** hyperglycemia
- bronchospasms
side effects of beta-blockers
, - iodine deficiency
- damage to the thyroid gland
- pregnancy/postpartum
- amiodarone/ lithium
- family history of autoimmune disorders
etiology of hypothyroidism
- bradycardia, hypotension, decreased deep tendon reflexes, facial/periorbital
edema, fatigue, decreased memory function, intolerance to cold, constipation,
weight gain.
manifestations of hypothyroidism
what drug is contraindicated with acute MI, Thyrotoxicosis, severe CVD, adrenal
insufficiency, soybean, flour, and walnuts?
levothyroxine
side effects => weight loss, menstrual changes, headache, insomnia, anxiety,
hypertension, dysrhythmias, osteoporosis in females
levothyroxine
end stage of prolonged, untreated hypothyroidism caused by ineffective
adherence to thyroid replacement therapy, trauma, infection, narcotics,
barbiturates.
manifests as --> hypothermia, confusion/stupor, hypotension, coma, respiratory
failure, hypoglycemia, hyponatremia
myxedema coma