Hyperthyroidism is also called
Grave’s disease or hypermetabolism<\/p>\n\n\n\n
Tip to remember Grave’s disease s\/s’s
“Run yourself into the Grave” – everything is up \u2026 diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance<\/p>\n\n\n\n
Treatment for Grave’s disease
Radioactive Iodine, PTU (put thyroid under), surgically remove<\/p>\n\n\n\n
Total thyroidectomy \u2026 totals get
tetany, need lifelong hormone replacement<\/p>\n\n\n\n
After thyroidectomy patients are at risk for
hypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia<\/p>\n\n\n\n
parathesia
numbness and tingling, first sign of electrolyte imbalance<\/p>\n\n\n\n
Subtotal thyroidectomy \u2026 subs get
storm<\/p>\n\n\n\n
S\/S of thyroid storm
Extremely high vital signs, hyperpyrexia, psychotic delerium<\/p>\n\n\n\n
How to treat thyroid storm
give o2, lower temp to spare brain<\/p>\n\n\n\n
Risks post op for total thyroidectomy
airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany<\/p>\n\n\n\n
Risks post op for sub total thyroidectomy
airway, hemorrage for 1st 12 hours then for 12-48 hours thyroid storm<\/p>\n\n\n\n
Hypothyroidism is also called
Myxedema or hypometabolism<\/p>\n\n\n\n
S\/S of mydexema
everything is down, constipation, heat tolerance, cold intolerance<\/p>\n\n\n\n
Treatment for mydexema
give thyroid medications<\/p>\n\n\n\n
Where to put the 5 ice packs to cool a thyroid storm patient
neck pits groin<\/p>\n\n\n\n
If you cool a patient too fast what might happen?
Heart arrythmias<\/p>\n\n\n\n
Never hold the hormone for what patient?
patient who is NPO with mydexema<\/p>\n\n\n\n
Addison’s disease easy way to remember
Add a Sone (sone = steroid)<\/p>\n\n\n\n
Adrenal Cortex diseases easy way to remember
A in Adrenal stands for Addison’s
C in Cortex stands for Cushing’s<\/p>\n\n\n\n
Addison’s disease is
undersecretion of adrenal cortex, not enough hormone, BRONZE\/tan, go into shock very easily. STRESS can trigger.<\/p>\n\n\n\n
Addison’s disease treatment
give a steroid, chronic steroid therapy<\/p>\n\n\n\n
Cushing’s syndrome
Over secretion of adrenal cortex, too much hormone, too much steroid.<\/p>\n\n\n\n
S\/S of Cushing’s syndrome
same as steroid use \u2026 moon face, think cushman “I’m mad I have an infection”, high blood sugar, losing Potassium,<\/p>\n\n\n\n
Treatment for Cushing’s syndrome
Surgery, bi or uni lateral adrenalectomy (bilateral is worse)<\/p>\n\n\n\n
Donning PPE’s order
Gown, Mask, Goggles, Gloves<\/p>\n\n\n\n
Removing PPE’s order
alphabetically inside the room<\/p>\n\n\n\n
For airborne precautions the mask is removed where?
outside of the room<\/p>\n\n\n\n
Avoid answers with what words for children 9 mths and younger?
build, sort, stack, construct, make<\/p>\n\n\n\n
Toddlers (1-3) work on
their gross motor skills (jump, hop, throw), NO fine motor, parallel play<\/p>\n\n\n\n
Preschoolers (3-6) work on
fine motor, balance (tumbling, dance, tricycle), cooperative play, pretend<\/p>\n\n\n\n
School age (7-11) work on
creative, collect, competitive<\/p>\n\n\n\n
Best default order for click and drag order questions?
Hold \u2026.. med
Assess \u2026.. what med does
Prepare \u2026\u2026 the correction
Call \u2026.. or notify<\/p>\n\n\n\n
Rarely if ever answer \u2026
call Doctor, NCLEX wants you to think critically<\/p>\n\n\n\n
Creatinine lab values
same as lithium 0.6-1.2 Not a huge worry, not a dangerous lab to worry about<\/p>\n\n\n\n
INR lab values
2-3, critical value if off, potential for patient to bleed. Use default order for order ?’s (hold all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or notify<\/p>\n\n\n\n
Potassium lab values
3.5-5.3 If low it is a critical lab to worry about assess the heart and then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!<\/p>\n\n\n\n
pH lab values
7.35-7.45 if pH is in the 6;s VERY dangerous remember as the patient’s pH goes so goes the patient
If bad vitals, call rapid response team<\/p>\n\n\n\n
BUN lab values
8-30 check for dehydration if elevated not a big deal, just be concerned<\/p>\n\n\n\n
If a deadly or dangerous lab value is discovered AND they have symptoms call the
rapid response team!<\/p>\n\n\n\n
HgB lab values
12-18 check for bleeding if low or high, if low prepare for tranfussion<\/p>\n\n\n\n
HCO3 lab values
22-26 if it is abnormal so what!<\/p>\n\n\n\n
CO2 lab values
35-45 if in the 50’s assess respiratory status and have patient do pursed lip breathing, if in 60’s considered deadly and respiratory failure, need intubated<\/p>\n\n\n\n
Hct lab values
36-54 thickness of blood if abnormal not too big of a deal, assess for dehydration<\/p>\n\n\n\n
PO2 lab values
78-100 this is only obtained from an ABG if low give O2 but if really low it is respiratory failure give O2, prepare for intubation, call resp therapy and call Dr<\/p>\n\n\n\n
O2 sat lab values
93-100 pulse ox, if under 93 assess resp status and give O2<\/p>\n\n\n\n
BNP lab value
less than 100 is normal, good indicator of CHF, edema, if elevated assess s\/s of CHF<\/p>\n\n\n\n
NA lab values
135-145, if a change in LOC then evaluate for fall\/safety risk<\/p>\n\n\n\n
WBC lab values
5000-11000 if low assess for infection<\/p>\n\n\n\n
CD4 count less than 200 equals
AIDS<\/p>\n\n\n\n
Neutropenic precautions (low WBC)
strict handwashing, avoid crowds, private room, low bacteria diet (no raw or undercooked), no water that has been standing longer than 15 min, vital signs Q4H<\/p>\n\n\n\n
Platelets lab value
150000-400000 if lower than 90000 bad if lower than 40000 REALLY bad, if they sneeze they could die. Called thrombocytopenia<\/p>\n\n\n\n
Bleeding precautions
no venipuncture, injection or IV, if necessary use small guage, handle patient gently, use drawsheet, no razor, no toothbrush, blow nose gently, no aspriin, no rectal temp, no hard foods<\/p>\n\n\n\n
RBC lab values
4-6 million abnormal doesn’t really matter<\/p>\n\n\n\n
Reason for laminectomy
treat nerve root compression<\/p>\n\n\n\n
S\/S of nerve root compression
Pain
Parasthesia (numbness & tingling)
Paresis (muscle weakness)<\/p>\n\n\n\n
Cervical
Diaphram and Arms affected, breathing, respiratory pattern<\/p>\n","protected":false},"excerpt":{"rendered":"
Hyperthyroidism is also calledGrave’s disease or hypermetabolism Tip to remember Grave’s disease s\/s’s“Run yourself into the Grave” – everything is up \u2026 diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance Treatment for Grave’s diseaseRadioactive Iodine, PTU (put thyroid under), surgically remove Total thyroidectomy \u2026 totals gettetany, need lifelong hormone replacement After thyroidectomy […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-111775","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111775","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=111775"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111775\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=111775"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=111775"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=111775"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}