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What is Sjogren's Syndrome and what is the treatment?
Dry eyes and dry mouth- treatment revolves around symptom management-
artificial tears, hard candies, etc.
Common in lupus patients
What is a major concern for lupus patients? How do we monitor this?
Impact on the kidneys- Lupus nephritis
Be on the look out for glomerularnephritis as well as proteinuria
These patients will require routine UA for assessment of their kidneys and protect
them
What is the function of the thyroid?
Viral hormone gland
Metabolism regulation- impacts every SINGLE cell within the body Proper growth
and development across the entire lifespan
,What produces TSH?
Pituitary gland
What is the function of TSH?
Tells your thyroid when to produce and release those critical thyroid
hormones- T3 and T4.
What disorders include hypothyroidism?
Iodine deficiency, Hashimoto's, or thyroiditis
A presence of thyroid peroxidase antibodies indicates that?
Hypothyroidism is caused by an autoimmune process of some sort
What are some signs and symptoms of hypothyroidism?
Weight gain, constipation, dry skin, cold intolerance, fatigue, course hair, facial
puffiness, thick tongue, and maybe some cardiac side effects
What patient education must be included regarding Synthroid administration?
Must be taken on an empty stomach before other medications
What are signs and symptoms of a myxedema coma?
Low body temperature, edema, confusion, lethargy, tongue thickening,
difficulty breathing
,What medications can precipitate myxedema coma?
Lithium or amiodarone
Your patient who is on 75 mcg Synthroid PO daily comes in for a 6 week
follow up to check their TSH level. When you get the results, their TSH is 0.1.
What should you do next as the NP?
Assess how the patient is taking their Synthroid
What signs and symptoms are common in hyperthyroidism?
Anxiety, palpitations, cardiac abnormalities, tachycardia, diaphoresis, weight
loss, and increased appetite, menstrual irregularities, amenorrhea, tremors, lid
lag, exophthalmos
What needs to be considered with PTU medication administration?
Need frequent lab work: CBC, and Thyroid panel
Required to take PTU multiple times a day
What is the most common treatment for Grave's Disease?
Radioactive iodine therapy
Hyperthyroidism left untreated may lead to what conditions?
Heart disease- patient's heart is in a constant high-output state, your heart can't
keep up with that all of the time, may lead to heart failure
Osteoporos
is
Infertility
, What is worst case scenario in hyperthyroid patients?
Thyroid storm- Temperature, HR, and BP- dangerously HIGH levels
Puts body into compromised state, especially impacting your heart. Heart
starts to go into Letha dysrhythmias and even heart failure.
What are the 8 most common drug classes for diabetes medications?
Biguanides
(Metformin) DPP-4
inhibitors
GLP-1
Agonists
SGLT-2
inhibitors
Insulin
Sulfonylure
as TZDs
Alpha-glycosides inhibitors
Why are type 1 diabetics insulin dependent?
They have an autoimmune destruction of their beta cells
What are some examples of rapid acting insulin?
Humalog, Novalog, Apidra
Recent Exam Actual Complete Real Exam Questions And
Correct Answers (Verified Answers) Already Graded A+ |
Guaranteed Success!! Newest Exam || Just Released!!
What is Sjogren's Syndrome and what is the treatment?
Dry eyes and dry mouth- treatment revolves around symptom management-
artificial tears, hard candies, etc.
Common in lupus patients
What is a major concern for lupus patients? How do we monitor this?
Impact on the kidneys- Lupus nephritis
Be on the look out for glomerularnephritis as well as proteinuria
These patients will require routine UA for assessment of their kidneys and protect
them
What is the function of the thyroid?
Viral hormone gland
Metabolism regulation- impacts every SINGLE cell within the body Proper growth
and development across the entire lifespan
,What produces TSH?
Pituitary gland
What is the function of TSH?
Tells your thyroid when to produce and release those critical thyroid
hormones- T3 and T4.
What disorders include hypothyroidism?
Iodine deficiency, Hashimoto's, or thyroiditis
A presence of thyroid peroxidase antibodies indicates that?
Hypothyroidism is caused by an autoimmune process of some sort
What are some signs and symptoms of hypothyroidism?
Weight gain, constipation, dry skin, cold intolerance, fatigue, course hair, facial
puffiness, thick tongue, and maybe some cardiac side effects
What patient education must be included regarding Synthroid administration?
Must be taken on an empty stomach before other medications
What are signs and symptoms of a myxedema coma?
Low body temperature, edema, confusion, lethargy, tongue thickening,
difficulty breathing
,What medications can precipitate myxedema coma?
Lithium or amiodarone
Your patient who is on 75 mcg Synthroid PO daily comes in for a 6 week
follow up to check their TSH level. When you get the results, their TSH is 0.1.
What should you do next as the NP?
Assess how the patient is taking their Synthroid
What signs and symptoms are common in hyperthyroidism?
Anxiety, palpitations, cardiac abnormalities, tachycardia, diaphoresis, weight
loss, and increased appetite, menstrual irregularities, amenorrhea, tremors, lid
lag, exophthalmos
What needs to be considered with PTU medication administration?
Need frequent lab work: CBC, and Thyroid panel
Required to take PTU multiple times a day
What is the most common treatment for Grave's Disease?
Radioactive iodine therapy
Hyperthyroidism left untreated may lead to what conditions?
Heart disease- patient's heart is in a constant high-output state, your heart can't
keep up with that all of the time, may lead to heart failure
Osteoporos
is
Infertility
, What is worst case scenario in hyperthyroid patients?
Thyroid storm- Temperature, HR, and BP- dangerously HIGH levels
Puts body into compromised state, especially impacting your heart. Heart
starts to go into Letha dysrhythmias and even heart failure.
What are the 8 most common drug classes for diabetes medications?
Biguanides
(Metformin) DPP-4
inhibitors
GLP-1
Agonists
SGLT-2
inhibitors
Insulin
Sulfonylure
as TZDs
Alpha-glycosides inhibitors
Why are type 1 diabetics insulin dependent?
They have an autoimmune destruction of their beta cells
What are some examples of rapid acting insulin?
Humalog, Novalog, Apidra
