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Sts

hyperglycemia

hyponatremia

hypokalemia

HTN

Peak times when insulin is →

at it's
strongest strength
for
lowering
blood
glucose
to
important
verythis give snacks

risk of

during
reduce time to

hypoglycemia
monitor for SIS of
hypoglycemia

cold
clammy shaky

,
,

Example
when
:
nurse
pt regular insulin
givestime at
12pm ,
is the best to food ?

within 2- 4
give them
pm
(has a
peak of 2- 4 hours after
admin )
Example client
taking
:
NPH at
is client most at risk
7pm , what time
for
→ within
11pm -
7 am hypoglycemia?
(peak of 4- 12 hrs)

best time a t
midnight

☆ Increase insulin
" "

during
s S

sepsis

days

sick

surgery

Un concurs
- 2=3

Glucagon parent phone 6-72


→ asks over

IM shot eat ASAP within


10 -
I 5 mins

IV dextrose → in the
hospital
☐ 50
Thyroid →

regulates metabolism Hypothyroid


-_
low metabolism

think metabolism

SI
Hyperthyroid __ fast metabolism •
Obese
/ / dull

dull / flat boring



Slow

weight-loss cold

• intolerance

heat tolerance
tachycardia

high
blood

pressure
/
hyper / anxious

irritable

heat intolerance

cokltolerane
)
exoptnaimoslbuldgmgeyes

disease
graves
ex -

TX weeks before
used
surgery
- 2

toelecreasevascularityofthe

radioactive lclolne gland + decrease hormone
release
For 24ha
→ should
pt belnroombyself

careful with wine


flush ZX


ifspellwlnlcallhazmatte.am

PTU
→ lowers
thyroid levels (1-3+1-4)
WBC
ltsacanurclrug
→ monitor since

thyroklecotomy

" "
totalorsub
" "

complete or
partial

↓ thyroid storm
need
lifelong •¥¥

hormone > 105


replacement "

2101180
"

high
BP
atnskforhypocat
• •

"

tachycardia 1801£00
tetany
→ "
severe

psycotkdelirum

medical
emergency
•¥ttemp clown
icepack ( otway)

cooling bianketlsestway

getoaup

10L
oxygen

ADH → function is to
keep
Nat in & K +
out of tissues

highweight gain↓

ADH = ↑ Na ,
tuk edema
,

(SIADH)
,
i HTN

low ADH =
Na ↑K

hypotension ( BIweight
.
,

loss ,
)

Urine
gravity measures
=

Concentration Of Urine Range


1.005 - 1.030

peeing ↓ UG ble

alot =
wine
Is diluted dow Nai )
hyper high
osmahtity
K

too little
peeing

=
↑ UG ble urine
is concentrated (
high Na , low K)
hypo osmahtity
-
Pts What increases
with
hyperparathyroidism canine

blood ?
"

RIB
"

makestoohttle PTH PTH


regs
-

Ca +0011++6 PTH
hypocalcemia
-

B- renato

Caoestudy I
catgetsreaoborbeduaunne
intestinal
TYFCIOOF diarrhea ZX /
-

day , ˢ"→•
back of absorb> Catulafoolwith
help of

musckspasmsitinghnghpstfingers thyroid
gland
vitamin ☐

History ofthyroiclectomyt osteoporosis


.

Cats .

B- bone
7.21K Na 2.9 , 125
needs Cattben
.

body

☒ had If # absorbs
505kW 'll
thyroid remove #

make little
lthyradeotomy)
ptH-lowcag.21o.by
It from the bones

Herh1stoyofOsteOpor0sismeansherbody-
.

a-bsor-wwes.Dlahrreasanothe.rs/S.Ca1ciumfunctI
Maintain function of
strong
. . .

① Bones
swollen +510W

Clotting factors)
c- Blood
①constpation- ③ Beats @contraction)


Bonepairkcagoesfrombonestobloal)
high phosphorus
⑨ kidney

stones
4. Circumoral
DTR tingling
Decreased DTR
Renal failure -_ low Ca
Sevremusuk weakness
Because
kidney

isn't
⑤ LOW making enough vitamin D
phosphorus Malnutrition Or
sina.name, obstruction malabsorption
removing high phosphorous levels
+

Diuretics / vitamin ☐
bone metastases
toxicity malignancy
, ,

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