Created by sueostermeyer
over 11 years ago
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Nursing diagnosis for Diabetes Insipadus 1 2 3
medication for diabetes insipidus is
diabetes insipidus
1. deficit of what hormone
2. pt becomes ___ and what electrolyte is effected and how
3 the specific gravity is
this type of diabetes insipidus is from renal tubules are not sensitive to ADH. this is familar in renal failure
this type of diabetes insipidus is a result from either disruption of the hypothalmus and pitutary glands from trauma irrdiation or cranial surgery or idiopathic
Two types of Diabetes insipidus are
Syndrome of inappropriate antidiuretic hormone secretion
Nursing Diagnosis for SAIDH are
1 2 3 4
Some common causes of SIADH include
HyPERfunction of anterior pitutary gland GH during Adulthood causes
GH before puberty
Drugs used for SIADS are
Treatment and nursing practices of SIADS is
signs and symptoms
brain cells, causing neurologic symptoms including headache, changes in mental status or personalit, lethargy and irriatability, weight gain from retention of fludea with no edema
Manifestation of SIADH are usually nonspecific but are related to ___ and __ __
what is suppressed as a result of renal excretions of sodium increases
SIADH is most often caused by
Other causes may be
Treatment of addisonian crisis is
Regular symptoms of addison disease + high fever, severe pain in the abdomen, lower back pain, legs, severe vomitting, diarrhea, circulatory collapse, shock, coma this is
typical symptoms of addisons
results when your adrenal glands are damaged, producing insufficient amounts of the hormone cortisol and often aldosterone as well. These glands are located just above your kidneys
addisions disease is loss of what hormones
Medication for acromegaly is called ?
It suppresses the anterior pituitary gland and decreases the?
Side effects of the medication are
acromegaly is treated by surgical removal or irradiation of the ?
the two types of surgery are called
The patient is admitted to the critical care unit because of uncontrolled chest pain , radiating to the shoulder.
Think about what interventions will be carried on ?
What medications will be administered and why ?
What laboratory tests will be done and why?
What is the nurses/ yours higest priority ?
What nursing diagnosis will be the highest priority ?
Sodium polystyrene sulfonate also known as Kayexalate is medication treats what
Manifestation of acromegaly
Signs of Large forehead, maxilla lengthens ,tongue enlarges and voice deepens. Overgrowth of bone and soft tissue in the hands and feet.
Acromegaly usually begins during
This occurs when GH hypersecretion begins before puberty and the closure of the epephyseal plate. Height and body proportions are relatively normal. Usually tumor involved
Nursing diagnosis with addison
Medication for Addison is
1.coticosteroid called and used for
2. Mineralocorticoids
3 diet is
blood and urine test for Addison's
1. cortisol
2. BUN
3. sodium
4. Potassium
5. glucose
6 Urine 17-5s
Manifestation of addisons are
1.Integumentary system
2.Cardiovascular
3. Central nervous system
4. Musculoskeletal
5. Gastronintestinal system
6. reporductive
7. Metabolic effects
in Addison disease results in a chronic deficiency of
accompanied by
age is usually
more common in
this is a disorder resulting from destruction or dysfunctino of the adrenal cortex
Nursing diagnosis and interventions for Cushing's syndrome is
Drugs used for cushing syndrom are
1. used to treat matastic adrenal cancer
2. This is used for ectopic ACTH secreting tumors that cannot be surgicall removed
3. This durgs suppresses ACTH secretions in some clinets
in primary Cushing syndrome ACTH levels are
in secondary cushing sydrome ACTH leves are
other changes in cushing syndrome are electrolytes imbalances and they are
1. calcium changes cause
2. potassium is
3.sodium is
4. risk for peptic ulcers
5 cardiovascular system changes
6. Reporductive system
steroid excess inhibits fibroblast resulting in loss of collagen and connective tissue results are
cushing syndrom obesity and redistribution of body fate is in what regions
this type of cushings is from long term glucocorticoid use
this type of cushing is resulting from excessive cortisol secretion by a benign or malignant adrenal tumor. Excess secretation supresses pituitary ACTH production, resulting in atrophy of the uninvolved adrenal cortex. Thirty two percento of cushing disease is due to excessive autonomous secretion of cortisol by adrenal glands
type of cushing caused by ACTH secreting tumor such as small cell lung cancer
this form of cushing is is associaqted with ACTH hypersecretation by tumor of pituitary. This si most commonly causecd by a small pitutiary adenoma with persistent but disorderly and random overproduction of ACTH. Forty three persent of cushing is due to hypersecretation of ACTH by pituitary
4 types of cushing syndrome is
which is the only endocrine organ that can be palpated during physical assessment
When conductring a health history focused on the endocrin system, which of the following questions should be included
What assessment might be made to identify low calcium levels
stroke face and get a lip twitch or nose twitch on same side of face
inflating a blood pressure cuff above the anticubital area, higher than the systolic blood pressure, for two to five minutes, A positive test causes carpal spasm and the fingers and hand will contract on the arm where the blood pressure cuff is inflated
Trousseaus and Chvostek’stroke used to check for
what physiologic response is expected if the pituitary produces and increased amount of ADH
extreme larg bones may indicate
ultered sensation may be seen in what three endo disorders
increased pigmentatin of the nails is seen in what disease
Purple striae over the abdomen and brusing may be sinn in what syndrome
corticosteroids Glucocorticosteroids and minerocorticosteriods have effects on endocrine areas
What gland posterior gland stimulates retention of water
What posterior gland stimulates uterine contractions, milk ejection reflex in the mammary glands
What gland stimulates development of testes and ovaries
what gland stimulates Thyroid gland to produce hormones