NUR 524 EXAM 2
1. Addison's disease, what hormone level am I looking at?: Cortisol
Suppression of cortisol
Autoimmune attack on adrenal cells
2. How do patients present with cortisol suppression?: tired/lethargic
Weakness
Poor appetite
Weight loss
Skin changes such as hyperpigmentation on extremities
3. What is going to happen to labs in addsions?: Free cortisol low
Potassium elevated
Sodium low
4. Cushings is an excess of what?: cortisol
5. What other comorbidities can cushing's cause?: Osteoporosis DM II
Hypertension
6. Diabetes is a insulin secretion problem or insulin use problem:
Insulin secretion problem= type I
Insulin use problem= type II
, 7. What medication would you start on an obese patient who is
sedentary and has a poor diet. You need to control sugar and have
them loose weight.: GLP 1 (ozempic, wygovy)
SE: gastroparesis, have to stop for week to have colonoscopy or any
sedation
8. When should you screen for DM?: BMI
Overweight >25
Obese >30
Any person >45 years old should be screened for DM q3 years
Screening is A1C (gold standard)
Fasting plasma glucose >126
Random glucose >200
9. Long acting insulin types: Insulin glargine: Lantus
Insulin detemir: Levemir
10. Short acting insulin types: Insulin lispro: Humalog
Insulin aspart: Novalog
11. For a person with DM II on insulin therapy, what do we want the
A1C to be?: Long acting insulin <7
Rapid acting insulin 7-7.5
12. Pheochromocytoma, What can this disease mimic?: hyperthyroidism
1. Addison's disease, what hormone level am I looking at?: Cortisol
Suppression of cortisol
Autoimmune attack on adrenal cells
2. How do patients present with cortisol suppression?: tired/lethargic
Weakness
Poor appetite
Weight loss
Skin changes such as hyperpigmentation on extremities
3. What is going to happen to labs in addsions?: Free cortisol low
Potassium elevated
Sodium low
4. Cushings is an excess of what?: cortisol
5. What other comorbidities can cushing's cause?: Osteoporosis DM II
Hypertension
6. Diabetes is a insulin secretion problem or insulin use problem:
Insulin secretion problem= type I
Insulin use problem= type II
, 7. What medication would you start on an obese patient who is
sedentary and has a poor diet. You need to control sugar and have
them loose weight.: GLP 1 (ozempic, wygovy)
SE: gastroparesis, have to stop for week to have colonoscopy or any
sedation
8. When should you screen for DM?: BMI
Overweight >25
Obese >30
Any person >45 years old should be screened for DM q3 years
Screening is A1C (gold standard)
Fasting plasma glucose >126
Random glucose >200
9. Long acting insulin types: Insulin glargine: Lantus
Insulin detemir: Levemir
10. Short acting insulin types: Insulin lispro: Humalog
Insulin aspart: Novalog
11. For a person with DM II on insulin therapy, what do we want the
A1C to be?: Long acting insulin <7
Rapid acting insulin 7-7.5
12. Pheochromocytoma, What can this disease mimic?: hyperthyroidism
