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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
IV dextrose → in the
hospital
☐ 50
Thyroid →
think metabolism
•
SI
Hyperthyroid __ fast metabolism •
Obese
/ / dull
•
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 •¥¥
•
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
=
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
"
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 ☐
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
②
Clotting factors)
c- Blood
①constpation- ③ Beats @contraction)
②
③
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
, ,