COMPLETE QUESTIONS AND ANSWERS 100%
CORRECT
◉ Gigantism. Answer: Never fuses (elongated bones)
◉ Acromegaly (enlarged bones). Answer: enlargement of the
extremities
◉ Hypopituitary. Answer: Dehydration
Addison (secondary)
◉ amenorrhea
Headaches
Visual disturbances. Answer: S/S of hyperpituitary
◉ Test to diagnose Cushing disease. Answer: Dexamethasone
suppression test
,◉ Steps for a dexamethasone test. Answer: NPO
Blood specimen collected (1st thing)
◉ Pheochromcytoma. Answer: tumor of the adrenal medulla
◉ S/S of pheochromcytoma. Answer: Severe HTN & tachycardia
◉ Catecholamine (EPI & NONEPI). Answer: What is secreted from a
pheochromcytoma
◉ SIADH (soaked inside). Answer: Excessive amounts ADH (fluid
overload)
◉ S/s of fluid over load due SIADH. Answer: JVD, crackles, ABD
distention
◉ Increased specific gravity. Answer: Fluid overload
◉ Drop in urine specific gravity. Answer: Fluid overload
◉ Treatment for SIADH. Answer: Tolvaptan
,◉ DI (dry inside) (primary DI). Answer: Decreased production of
ADH (dilute urine)
◉ Secondary DI. Answer: TBI
Neurosurgery
Trauma
Infection
Sx
◉ Dipsogenic DI. Answer: Excessive fluid intake
◉ Nephrogenic DI. Answer: kidneys don't respond properly to ADH
◉ Drug related DI. Answer: Lithium, demeclocycline
◉ S/S OF DI. Answer: Dehydration
◉ For someone with DI, check vital signs for. Answer: Tachycardia
and hypotension
◉ Treatment for DI. Answer: DDAVP (desmopressin)
, ◉ Therapeutic response for DI. Answer: Decrease urine output
◉ Hallmark sign of DI. Answer: polyuria (increased urine)
◉ When a pt receives regular insulin when to check to hypoglycemia
(remember peak hours so check in 3 hours). Answer: 1000
◉ Why are DM patients prone to infection. Answer: Elevated glucose
increase the chance for bacteria growth
◉ Normal HgbA1c. Answer: Less than 7 is good
◉ PRIORITY for someone with retinopathy. Answer: Make sure BG is
maintained
◉ Things to do for those with retinopathy. Answer: Eye exam
Adequate light to see
◉ Do you apply heat or cold to skin if you have neuropathy. Answer:
No!