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NURS 5463 Exam 2 Questions And 100% Correct Answers (A+ Graded) Latest Update
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NURS 5463 Exam 2 Questions And 100% Correct Answers(A+ Graded) Latest Update
ACTH 250mcg Stimulation Test? - Answer Dx of Addison's disease- no change in cortisol
levels
adrenal insufficiency and hypothyroidism suspected? - Answer corticosteroids admin
prior to thyroid hormone
severe shock, unresponsive to treatment? - Answer adrenal crisis
little mineralocorticoid activity, doesn't interfere with serum cortisol? - Answer
Dexamethasone- stress dose steroid admin 200-350mg/day
diagnose Cushing disorders? - Answer Dexamethasone Suppression Test- steroid made
by body doesn't decrease
treatment of Cushing disorder? - Answer treating signs- HTN and DM management,
surgical removal of pituitary or adrenal tumors (Cushing Disease)
Treatment of Cushing disorder? - Answer Propranolol, Thionamides (PTU or
Methimazole)
inhibits conversion of T4 to T3? - Answer Propranolol and PTU
most common precipitating factor of Myxedema Coma? - Answer Infection; No
leukocytosis, only bands or left shift, hypothermia
IV Levothyroxine 500-800mcg followed by daily dosing 100mcg? - Answer Myxedema
Coma
hyponatremia, hypo-osmolality, elevated urine osmolality? - Answer SIADH
, common in post-op patients? - Answer SIADH, Thrombocytopenia
treatment of SIADH? - Answer water restriction, hypertonic saline in severe
hyponatremia <120
urine specific gravity <1.005 and urine osmolality <200? - Answer DI
DDAVP prevents water excretion? -Answer in central DI
hydrochlorothiazide prevents water excretion in? -Answer Nephrogenic DI
hypertension, hyperglycemia, hypercalcemia, erythrocytosis? -Answer
Pheochromocytoma
AM hyperglycemia from hormones, no nocturnal hyperglycemia? -Answer Dawn
Phenomenon
3AM hypoglycemia followed by 7AM rebound hyperglycemia? -Answer Somogyi Effect
causes fluid retention, avoid in HF, causes hepatic toxicity? -Answer TZDs (zones)
hypoglycemia in the hospital? -Answer Sulfonylureas (Gli)
TDD? -Answer 0.4-0.6 u/kg/day
low serum osmo, anion gap metabolic acidosis, ketones, low CO2? - Answer DKA
high serum osmo, no ketones, dehydrated, AMS? - Answer HHS
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