Edocrine peds

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Sejune
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42030
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Edocrine peds
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2010-10-13 20:44:52
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Edocrine peds
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Edocrine peds nursing
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  1. characterized by poor growth and short stature
    growth hormone deficiency
  2. increased fat in trunk area
    growth hormone deficiencey
  3. childlike face with large prominent forehead
    growth hormone deficiencey
  4. high pitched voice
    growth hormone deficiencey
  5. hypoglycemia
    growth hormone deficiencey
  6. micropenis with small testes
    growth hormone deficiencey
  7. delayed sexual maturation
    growth hormone deficiencey
  8. Administration of growth hormone
    tx of growth hormone deficiencey
  9. subcutaneous injection
    growth hormone deficiencey
  10. measure accurately
    growth hormone deficiencey
  11. measured q 6 mo
    growth hormone deficiencey
  12. calculate drug doses as child gains weight
    growth hormone deficiencey
  13. Bone scan
    growth hormone deficiencey
  14. breast development before the age of 7 in whites and 6 in black girls
    precocious puberty
  15. in boys less than 9 years of age
    precocious puberty
  16. accelerated growth rate (taller, developed musculature)
    precocious puberty
  17. advanced bone age
    precocious puberty
  18. Evidence of secondary sex characteristics
    precocious puberty
  19. Acne
    precocious puberty
  20. Adult body odor
    precocious puberty
  21. Behavioral changes
    precocious puberty
  22. When to measure head circumference
    after 2 years old
  23. If untreated child with precocius puberty is potentially
    fertile
  24. DI has nothing to do with
    glucose
  25. Disorder of water regulation
    DI
  26. Complication following head trauma
    DI
  27. Can be transient or perminent
    DI
  28. Other causes of DI
    Aneurysms, encephalitis, meningitis
  29. Common sx of older child with DI
    • polyuria
    • polydipsia
  30. nocturnal enuresis
    DI
  31. Urine specific gravity < 1.005
    DI
  32. Hypernatremia common clinical manifestation in
    DI
  33. Treatment of DI is not necessare to
    maintain life
  34. TX of DI
    daily replacemens to of vasopressin (ADH)
  35. Drug of choice in DI
    Desmopressin
  36. Goals of DI therapy
    improve quality of life
  37. Slow metabolism
    Hypothyroidism
  38. Decreased BP
    Hypothyroidism
  39. Low pulse
    Hypothyroidism
  40. Cold intollerance
    Hypothyroidism
  41. Pulse Increase
    Hypothyroidism
  42. Disorder present at birth
    Hypothyroidism
  43. Cuased by low concentration of T3 T4
    Hypothyroidism
  44. Creti9nism
    severe mental retardation
  45. early detection and treatment of Hypothyroidism can prevent
    cretinism
  46. TSH < .4
    hyperthydroidism
  47. TSH > 5
    hypothyroidism
  48. Occurs during childhood and more frequently in females
    aquired hypothyroidsm
  49. may presetn with a goiter
    aquired Hypothyroidism
  50. thinning course hair
    Hypothyroidism
  51. fragile skin
    Hypothyroidism
  52. fatigue
    Hypothyroidism
  53. puffy eyes
    Hypothyroidism
  54. decreased reflexes
    Hypothyroidism
  55. delatyed puberty and tooth eruption
    Hypothyroidism
  56. hypermetabolic state
    hyperthyroidism
  57. Opthalmic changes with
    hyperthyroidism
  58. dowward displacement of the eyeball
    • hyperthyroidism
    • proptosis
  59. primary concern in hyperthyroidism
    hyperthyroid storm
  60. temp 104
    thyroid storm
  61. increased BP and pulse
    thyroid storm
  62. seizures
    thyroid storm
  63. Exopthalmos
    thyroid storm
  64. common and usually benign
    hyperthyroidism
  65. can have toxic goiter
    hyperthyroidism
  66. Toxic diffuse goiter
    Grave's disease
  67. Will die if untx
    hyperthyroidism
  68. GI symtptoms of diarrhea
    thyroid crisis hyperthyroidism
  69. progresses to confusion, psychosis, seizures
    hyperthyroidism thyroid crisis
  70. mortality rate is high/death can occur within 48 hours without treatment
    thyroid crisis hyperthyroidism
  71. ambiguous genitalia
    pseudohemrmaphrodism
  72. Most often occurs in childhood and adolescnese, second most common chronic disease of childhood in US
    Type I Diabetes
  73. hyperglycemia
    Type I Diabetes
  74. can be auto immune or idiopathic
    Type I Diabetes
  75. gentic predisposition
    Type I Diabetes
  76. Environmental facgtors
    Type I Diabetes
  77. manifests when 90% of beta cells destoryed
    Type I Diabetes
  78. 3 P's of Type I Diabetes
    • Polydipsia
    • Polyphagia
    • Polyuria
  79. Losing weight but eating more food
    Type I Diabetes
  80. Electrolyte disturbance causes osmotic diuresis
    Type I Diabetes
  81. mailaise and fatigue is common
    Type I Diabetes
  82. blurred vision
    Type I Diabetes
  83. must have exogenous source of insulin to live
    Type I Diabetes
  84. Diabetic Ketoacidosis is associated with which diabetes?
    Type I
  85. Metabolic acidosis in diabetes
    DKA
  86. can result in coma and death if left untreated
    DKA
  87. person at risk of DKA
    • sick
    • infection
    • not enough insulin
  88. Results from severe dehydration and acidosis
    DKA
  89. treat DKA or dehydreation NOT
    hyperglycemai
  90. Foley important in DKA why
    I&O
  91. BS greater than 250
    DKA
  92. PH less than 7.35 diabetic condition
    DKA
  93. bicarb less than 15
    DKA
  94. increased potassioum
    DKA
  95. jincreased rate of respiratory rate and depth, longer insipration
    Kussmaul's
  96. Fluid of choice for DKA
    Isotonic
  97. Initial bolus of 1 liter of what with DKA
    1 liter NS
  98. How to prevent luid overload
    breathsounds and cardiovascular assessments
  99. Which insulin given IV?
    Regular
  100. IV bolus of regular insulin...amount
    .15 units/kg, followed by ccontinueous of .1 units per kg per hour
  101. what to achieve a steady decrease in serum glucose of
    75-100 / hour
  102. how often to monitor serum glucose when on insulin
    1-2 hrs
  103. What IV solution once glucose decreased to 250?
    d5 0.45, to prevent cerebral edema
  104. Foold while on insulin infusion
    NPO
  105. clear before cloudy
    duh
  106. insulin can be given continuous subcutaneous
    regular, via insulin pump
  107. insulin no approved for pregnancy
    lispro
  108. insulin shock
    hypoglycemia
  109. normal range for fasting glucose
    70 -110
  110. rapid acting or ultra short actin insulin
    lispro
  111. more rapid onset, less than 15 min
    lispro
  112. peak 30 - 60 min
    lispro
  113. duration 3-4 hours
    lispro
  114. administer 15 minutes before meals
    lispro
  115. Humalog
    lispro
  116. administer 30 - 60 before meals
    regular insulin
  117. short actin insulin
    regular
  118. clear, given iv
    regular
  119. 24 hour long actin human insulin subcutaneous at bedtime
    lantus
  120. used to treat type I and II
    lantus
  121. constant effect, no peak time
    lantus
  122. can be used in combination
    lantus
  123. vial of insulin can be kept at room temp for
    4 weeks
  124. doe not reuqire mixing
    regular
  125. most rapid site of absorption
    abdomen, then deltoid, then thigh then hip
  126. 15 grams of rapid acting shugar
    hypoglycemai tx 1/2 cup fruit juice

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