NCLEX study from Mark Klimek Exam Questions And Answers

NCLEX study from Mark Klimek Exam Questions And Answers Hyperthyroidism is also called - ANS Grave's disease or hypermetabolism Tip to remember Grave's disease s/s's - ANS "Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance Treatment for Grave's disease - ANS Radioactive Iodine, PTU (put thyroid under), surgically remove Total thyroidectomy ... totals get - ANS tetany, need lifelong hormone replacement After thyroidectomy patients are at risk for - ANS hypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so tetany, paresthesia paresthesia - ANS numbness and tingling, first sign of electrolyte imbalance Subtotal thyroidectomy ... subs get - ANS storm S/S of thyroid storm - ANS Extremely high vital signs, hyperpyrexia, psychotic delirium How to treat thyroid storm - ANS give o2, lower temp to spare brain Risks post op for total thyroidectomy - ANS airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany Risks post op for sub total thyroidectomy - ANS airway, hemorrhage for 1st 12 hours then for 12-48 hours thyroid storm Hypothyroidism is also called - ANS Myxedema or hypometabolism S/S of myxedema - ANS everything is down, constipation, heat tolerance, cold intolerance Treatment for myxedema - ANS give thyroid medications Where to put the 5 ice packs to cool a thyroid storm patient - ANS neck pits groin If you cool a patient too fast what might happen? - ANS Heart arrythmias Never hold the hormone for what patient? - ANS patient who is NPO with myxedema Addison's disease easy way to remember - ANS Add a Sone (sone = steroid) Adrenal Cortex diseases easy way to remember - ANS A in Adrenal stands for Addison's C in Cortex stands for Cushing's Addison's disease is - ANS undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock very easily. STRESS can trigger. Addison's disease treatment - ANS give a steroid, chronic steroid therapy Cushing's syndrome - ANS Over secretion of adrenal cortex, too much hormone, too much steroid. S/S of Cushing's syndrome - ANS same as steroid use ... moon face, think cushman "I'm mad I have an infection", high blood sugar, losing Potassium, Treatment for Cushing's syndrome - ANS Surgery, bi or uni lateral adrenalectomy (bilateral is worse) Hyperthyroidism is also called - ANS Grave's disease or hypermetabolism Tip to remember Grave's disease s/s's - ANS "Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance Treatment for Grave's disease - ANS Radioactive Iodine, PTU (put thyroid under), surgically remove Total thyroidectomy ... totals get - ANS tetany, need lifelong hormone replacement After thyroidectomy patients are at risk for - ANS hypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so tetany, paresthesia paresthesia - ANS numbness and tingling, first sign of electrolyte imbalance Subtotal thyroidectomy ... subs get - ANS storm S/S of thyroid storm - ANS Extremely high vital signs, hyperpyrexia, psychotic delirium How to treat thyroid storm - ANS give o2, lower temp to spare brain Risks post op for total thyroidectomy - ANS airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany Risks post op for sub total thyroidectomy - ANS airway, hemorrhage for 1st 12 hours then for 12-48 hours thyroid storm Hypothyroidism is also called - ANS Myxedema or hypometabolism S/S of myxedema - ANS everything is down, constipation, heat tolerance, cold intolerance Treatment for myxedema - ANS give thyroid medications Where to put the 5 ice packs to cool a thyroid storm patient - ANS neck pits groin If you cool a patient too fast what might happen? - ANS Heart arrythmias Never hold the hormone for what patient? - ANS patient who is NPO with myxedema Addison's disease easy way to remember - ANS Add a Sone (sone = steroid) Adrenal Cortex diseases easy way to remember - ANS A in Adrenal stands for Addison's C in Cortex stands for Cushing's Addison's disease is - ANS undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock very easily. STRESS can trigger. Addison's disease treatment - ANS give a steroid, chronic steroid therapy Cushing's syndrome - ANS Over secretion of adrenal cortex, too much hormone, too much steroid. S/S of Cushing's syndrome - ANS same as steroid use ... moon face, think cushman "I'm mad I have an infection", high blood sugar, losing Potassium, Treatment for Cushing's syndrome - ANS Surgery, bi or uni lateral adrenalectomy (bilateral is worse)