quiz 6 blue print (Autosaved).docx - NUR 226 Patho\/Pharm Blue Print ENDO GI Insulin types action peak duration how to administer timing compatibility

quiz 6 blue print (Autosaved).docx - NUR 226 Patho/Pharm...

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NUR 226 Patho/Pharm Blue Print ENDO/ GI. Insulin types, action, peak, duration, how to administer, timing, compatibility, which is given IV, I would know power point slide Table 45.1 Types of Insulin, & slide of Insulin therapy which came from nursing skills Professor Bachour Mediations: Know therapeutic levels where appropriate, nursing implications, adverse reactions, how to determine if drug is effective, expected outcome, dietary concerns, when to call the provider: PPI-Omeprazole H2blockers-Ranitidine Antacids-difference in types, Aluminum hydroxide, Maalox Docusate sodium Lactulose Corticosteroids hydrocortisone Levothyroxine Diagnosis: etiology, signs and symptoms, associated lab values, treatments, medications prescribed Peptic Ulcer Disease Hiatal Hernia- part of the stomach protrudes into the thoracic cavidity GERD Type 1 and Type 2 diabetes, potential complications DKA, Hyper & hypo thyroidism/ thyroid storm Addison’s/Cushing’s Hepatitis A and Hepatitis B Gastritis Diverticulitis/Diverticulosis SIADH Cirrhosis/complications/pruritus Diabetes Insipidus Chron’s Dumping Syndrome Endocrine System Consists of glands that secrete hormones Maintains homeostasis using hormones as chemical messengers Secreted in response to changes in internal environment Hormone release commonly controlled by negative feedback One hormone may control another Endocrine system works simultaneously with neuro system
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3 major components glands- specialized clusters or organs hormones- chemical substances secreted by glands in response to stimulations, regulates body functions receptors- protein molecules that bind specifically with other molecules, like hormones, to trigger specific physiologic changes in target cell Hypothalamus and pituitary glands Control many other glands Hypothalamus secretes releasing hormones and inhibiting hormones o Direct anterior pituitary glands as to which hormones should be released or decreased Posterior pituitary releases hormones o In response to nerve signals from hypothalamus Hormones in hypothalamus o CRH, TRH, GHIH, PIH, GHRH, GnRH, MSH-IH Hormones in anterior o ACTH, TSH, GH, PRL, FSH, LH, MSH Hormones in posterior o ADH, Oxytocin Hormone release- controlled by negative feedback mechanisms Negative feedback Common for last hormone in pathway to provide feedback As serum calcium levels fall, PTH is relased PTH causes increase in serum calcium Provides feedback to parathyroid glands to shut off PTH secretion Helps prevent excessive secretion of hormones, limiting their physiologic responses Endocrine disorders Two categories: an excessive amount of hormone or deficit of hormone Excessive hormone levels o Tumors o excretion by liver or kidney is impaired o congenital condition produces excess hormone Deficit of hormone or reduced effects o Tumor o Inadequate tissue receptors present
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o Antagonistic hormone production o Malnutrition o Atrophy, surgical removal o Congenital deficit Diagnostic tests o Blood tests Serum hormone levels Radioimmunoassay
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