FINAL EXAM 1460C OVERVIEW
100 questions, 300 pts (3pts per ?), 12 drug calc
KNOW MODULE 6
Hypoglycemia vs hyperglycemia
SEE BELOW
Hashimoto’s vs Cushing’s vs Addison’s
Hashimotos’s: autoimmune disease, attacks thyroid, feels like symptoms of
hypothyroidism: fatigue, aches, pain in muscles and joints
Effects women more than men
Most common cause of hypothyroidism(secondary)
Leads to a decrease in thyroid hormone
Thyroidectomy for treatment
Cushing’s : excess of steroid hormone cortisol, caused by pituitary tumor secreting
adrenocorticotropic hormone (ACTH), ANTERIOR OR POSTERIOR? Pituitary
Cushing's syndrome is a condition in which can occur if you have high levels of
the stress hormone, cortisol, in your blood. Cortisol increases our blood pressure and blood glucose
levels and diabetes is one complication which can result from untreated Cushing's syndrome.
S&S:
Weight gain in face (moon face)
Weight gain above the collar bone (supraclavicular fat pad)
Weight gain on the back of neck (buffalo hump)
Skin changes with easy bruising in the extremities and development of purplish
stretch marks (striae) particularly over the abdomen or axillary region
Red, round face (plethora)
Central obesity with weight gain centered over the chest and abdomen with thin
arms and legs
Excessive hair growth (hirsutism) on face, neck, chest, abdomen and thighs
Female balding
Generalized weakness and fatigue
Blurry vision
Vertigo
, Muscle weakness
Menstrual disorders in women (amenorrhea)
Decreased fertility and/or sex drive (libido)
Hypertension
Poor wound healing
Diabetes mellitus
Severe depression
Extreme mood swings
Treatment: surgery, radiation, chemotherapy, or cortisol inhibiting drugs, long-
term use of glucocorticoid hormones
Addison’s: damage to the adrenal glands, resulting in not enough of the hormone
cortisol and not enough fa. Most common cause is TB
S&S:
Lack of energy/motivation
Muscle weakness
Low mood
Loss of appetite and unintentional weight loss
Increased thirst
Darkening of the skin
Low BP, syncope
Low BG
N/V/D
Abdominal pain
Treatment: hormone replacement therapy, can include oral corticosteroids
(hydrocortisone, prednisone, methylprednisolone)
Thyroid storm: life-threatening associated with untreated or undertreated HYPERthyroidism.
occurs due to a major stress such as trauma, heart attack, or infection in people
with uncontrolled hyperthyroidism.
, In rare cases, thyroid storm can be caused by treatment of hyperthyroidism with
radioactive iodine therapy for Graves disease.
S&S:
Extremely irritable or grumpy
High systolic BP, low diastolic BP, tachycardia
N/V/D
High fever
Shock/delirium
Feeling confused
Feeling sleepy
Yellow skin or eyes
Can lead to come, heart failure, or death
All types of insulin and uses
Nursing process
Assess
Plan
Intervention
100 questions, 300 pts (3pts per ?), 12 drug calc
KNOW MODULE 6
Hypoglycemia vs hyperglycemia
SEE BELOW
Hashimoto’s vs Cushing’s vs Addison’s
Hashimotos’s: autoimmune disease, attacks thyroid, feels like symptoms of
hypothyroidism: fatigue, aches, pain in muscles and joints
Effects women more than men
Most common cause of hypothyroidism(secondary)
Leads to a decrease in thyroid hormone
Thyroidectomy for treatment
Cushing’s : excess of steroid hormone cortisol, caused by pituitary tumor secreting
adrenocorticotropic hormone (ACTH), ANTERIOR OR POSTERIOR? Pituitary
Cushing's syndrome is a condition in which can occur if you have high levels of
the stress hormone, cortisol, in your blood. Cortisol increases our blood pressure and blood glucose
levels and diabetes is one complication which can result from untreated Cushing's syndrome.
S&S:
Weight gain in face (moon face)
Weight gain above the collar bone (supraclavicular fat pad)
Weight gain on the back of neck (buffalo hump)
Skin changes with easy bruising in the extremities and development of purplish
stretch marks (striae) particularly over the abdomen or axillary region
Red, round face (plethora)
Central obesity with weight gain centered over the chest and abdomen with thin
arms and legs
Excessive hair growth (hirsutism) on face, neck, chest, abdomen and thighs
Female balding
Generalized weakness and fatigue
Blurry vision
Vertigo
, Muscle weakness
Menstrual disorders in women (amenorrhea)
Decreased fertility and/or sex drive (libido)
Hypertension
Poor wound healing
Diabetes mellitus
Severe depression
Extreme mood swings
Treatment: surgery, radiation, chemotherapy, or cortisol inhibiting drugs, long-
term use of glucocorticoid hormones
Addison’s: damage to the adrenal glands, resulting in not enough of the hormone
cortisol and not enough fa. Most common cause is TB
S&S:
Lack of energy/motivation
Muscle weakness
Low mood
Loss of appetite and unintentional weight loss
Increased thirst
Darkening of the skin
Low BP, syncope
Low BG
N/V/D
Abdominal pain
Treatment: hormone replacement therapy, can include oral corticosteroids
(hydrocortisone, prednisone, methylprednisolone)
Thyroid storm: life-threatening associated with untreated or undertreated HYPERthyroidism.
occurs due to a major stress such as trauma, heart attack, or infection in people
with uncontrolled hyperthyroidism.
, In rare cases, thyroid storm can be caused by treatment of hyperthyroidism with
radioactive iodine therapy for Graves disease.
S&S:
Extremely irritable or grumpy
High systolic BP, low diastolic BP, tachycardia
N/V/D
High fever
Shock/delirium
Feeling confused
Feeling sleepy
Yellow skin or eyes
Can lead to come, heart failure, or death
All types of insulin and uses
Nursing process
Assess
Plan
Intervention
