Endocrine Unit

Chapters 51-52

Do not forget that assigned textbook readings must be supplemental to reviewing & learning the Powerpoint shows. Solutions to those research information questions may be obtained from the textbook chapters, powerpoint shows, in addition to class lectures & in-class actions.

Chapter 51: Assessment & Administration of Sufferers with Diabetes

Circumstances to Know: Sort 1 & 2 diabetes mellitus

1. Describe the pathophysiological variations between sort 1 & sort 2 diabetes.

2. What are some indicators and signs of sort 1 diabetes? Assume “Three P’s”.

Three. What are some danger elements – modifiable & non-modifiable for sort 2 diabetes? See Chart 51-1.

four. How is diabetes identified? See Chart 51-2.

5. Establish the various kinds of insulin – embody onset of motion, peak, and length. See Desk 51-Three.

6. What are some instructing factors you’ll need to embody whereas educating sufferers on insulin administration?

7. a. What are the indicators and signs of hypo and hyperglycemia?

b. What are the frequent causes of hypo & hyperglycemia?

four. What are the laboratory and diagnostic findings in a affected person who has been identified with hyperthyroidism? 5.

5. Describe the nursing care that have to be supplied when caring for a affected person with hyperthyroidism.

Sufferers receiving methimazole or PTU as a remedy for hyperthyroidism must be taught about these issues by their healthcare suppliers.

7. Within the occasion that medication alone are ineffective within the administration of hyperthyroidism, two surgical choices can be found: radioactive iodine remedy and thyroid surgical procedure (partial or complete). Clarify what is completed throughout these operations, in addition to the nursing care and affected person training that will likely be required by the sufferers.

eight. What are the indicators and signs of a thyroid storm, and what sort of nursing care is required if one develops in a affected person? Check out Chart 52-6.

9. Hypothyroidism, also referred to as “under-active thyroid,” is characterised by the physique being in a slower metabolic state on account of an inadequate quantity of circulating T3 and T4 within the bloodstream. So, what are the indications and signs of hypothyroidism that point out a diminished metabolic price and signify this state?

c. How are these circumstances handled?

eight. What are a number of the potential problems that may happen with uncontrolled diabetes?

9. What are some really useful way of life modifications for sufferers identified with diabetes to Help higher handle the illness and stop problems?

Chapter 52: Assessment & Administration of Sufferers with Endocrine Issues (p. 1510-1524)

Circumstances to Know: Hypo & Hyperthyroidism

1. What are the capabilities of the thyroid gland?

2. The thyroid gland makes use of iodine from the meals you eat to make two fundamental hormones: T3 & T4. Clarify how the hypothalamus & pituitary within the mind regulate T3 & T4 stability.

Three. Hyperthyroidism, also referred to as “overactive thyroid” causes the physique to be in a hypermetabolic state, as a result of thyroid gland producing an excessive amount of T4. What indicators and signs are current in hyperthyroidism that mirror this hypermetabolic state?

four. What are lab and diagnostic findings for a affected person identified of hyperthyroidism?

5. Clarify the nursing care concerned whereas caring for a affected person with hyperthyroidism.

6. What are some nursing issues & affected person instructing for sufferers taking methimazole or PTU as therapy for hyperthyroidism?

7. Within the case that drugs alone don’t Help handle hyperthyroidism, two procedural remedies can be found: radioactive iodine remedy & thyroidectomy (partial or complete). Clarify what is completed throughout these procedures, in addition to the nursing care & affected person training that’s wanted.

eight. What are the indicators and signs of thyroid storm & what nursing care is required if this happens? See Chart 52-6.

9. Hypothyroidism, also referred to as “under-active thyroid” causes the physique to be in a slowed metabolic state, attributable to an insufficient quantity of circulating T3 & T4. What indicators and signs are current in hypothyroidism that mirror this slowed metabolic state?

10. What are lab and diagnostic findings for a affected person identified of hypothyroidism?

11. What’s levothyroxine & what are some necessary instructing factors to incorporate for sufferers taking this?

12. What are the indicators and signs of myxedema coma & what nursing care is required if this happens?

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