Nursing Tips

Endocrine (25)

In a positive feedback loop, a release of hormones initiates actions that lead to an additional release of that hormone.

Positive Feedback Loop

Cathy Parkes RN, BSN, PHN, CWCN

In a positive feedback loop, a release of hormones initiates actions that lead to an additional release of that hormone.

Positive Feedback Loop

Cathy Parkes RN, BSN, PHN, CWCN

In a positive feedback loop, a release of hormones initiates actions that lead to an additional release of that hormone.

Important nutritional guidance for the patient with Cushing's Disease includes restricting fluid and sodium, but increasing intake of potassium, calcium, and protein.

Cushing's Disease: Nutritional Guidance

Cathy Parkes RN, BSN, PHN, CWCN

Important nutritional guidance for the patient with Cushing's Disease includes restricting fluid and sodium, but increasing intake of potassium, calcium, and protein.

Cushing's Disease: Nutritional Guidance

Cathy Parkes RN, BSN, PHN, CWCN

Important nutritional guidance for the patient with Cushing's Disease includes restricting fluid and sodium, but increasing intake of potassium, calcium, and protein.

Aldosterone increases blood pressure and blood volume by promoting renal reabsorption of sodium (and therefore water!) and excretion of potassium.

Aldosterone

Cathy Parkes RN, BSN, PHN, CWCN

Aldosterone increases blood pressure and blood volume by promoting renal reabsorption of sodium (and therefore water!) and excretion of potassium.

Aldosterone

Cathy Parkes RN, BSN, PHN, CWCN

Aldosterone increases blood pressure and blood volume by promoting renal reabsorption of sodium (and therefore water!) and excretion of potassium.

When it comes to lactation, prolactin is responsible for causing milk production, while oxytocin controls the release of milk from the breasts through the "letdown reflex."

Lactation

Cathy Parkes RN, BSN, PHN, CWCN

When it comes to lactation, prolactin is responsible for causing milk production, while oxytocin controls the release of milk from the breasts through the "letdown reflex."

Lactation

Cathy Parkes RN, BSN, PHN, CWCN

When it comes to lactation, prolactin is responsible for causing milk production, while oxytocin controls the release of milk from the breasts through the "letdown reflex."

A patient with Addison's Disease (a form of adrenocortical insufficiency) will have increased potassium, calcium, and BUN, but decreased cortisol, sodium, and glucose.

Addison's Disease

Cathy Parkes RN, BSN, PHN, CWCN

A patient with Addison's Disease (a form of adrenocortical insufficiency) will have increased potassium, calcium, and BUN, but decreased cortisol, sodium, and glucose. 

Addison's Disease

Cathy Parkes RN, BSN, PHN, CWCN

A patient with Addison's Disease (a form of adrenocortical insufficiency) will have increased potassium, calcium, and BUN, but decreased cortisol, sodium, and glucose. 

Sulfonylureas

Sulfonylureas

Cathy Parkes RN, BSN, PHN, CWCN

Glipizide and glyburide are Sulfonylureas used to treat type 2 Diabetes. HINT: Think of riding down a slide, as your blood sugar comes down with this medication. Key side effect...

Sulfonylureas

Cathy Parkes RN, BSN, PHN, CWCN

Glipizide and glyburide are Sulfonylureas used to treat type 2 Diabetes. HINT: Think of riding down a slide, as your blood sugar comes down with this medication. Key side effect...

A patient with hyperpituitarism may require surgical treatment with a hypophysectomy.

Hyperpituitarism

Cathy Parkes RN, BSN, PHN, CWCN

A patient with hyperpituitarism may require surgical treatment with a hypophysectomy. 

Hyperpituitarism

Cathy Parkes RN, BSN, PHN, CWCN

A patient with hyperpituitarism may require surgical treatment with a hypophysectomy. 

Corticosteroids: Patient Teaching - LevelUpRN

Corticosteroids: Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

Patients taking corticosteroids (e.g., prednisone, hydrocortisone) are at increased risk of infection. Monitor for signs of infection, and educate patients taking these medications to avoid crowded areas and perform frequent...

Corticosteroids: Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

Patients taking corticosteroids (e.g., prednisone, hydrocortisone) are at increased risk of infection. Monitor for signs of infection, and educate patients taking these medications to avoid crowded areas and perform frequent...

Because of the unpleasant GI side effects of metformin, educate patients to take this medication with a meal.

Metformin

Cathy Parkes RN, BSN, PHN, CWCN

Because of the unpleasant GI side effects of metformin, educate patients to take this medication with a meal.

Metformin

Cathy Parkes RN, BSN, PHN, CWCN

Because of the unpleasant GI side effects of metformin, educate patients to take this medication with a meal.

When caring for a child with pheochromocytoma, be sure not to palpate the abdomen. Palpation can cause a sudden release of catecholamines, triggering severe hypertension!

Pheochromocytoma in Children

Cathy Parkes RN, BSN, PHN, CWCN

When caring for a child with pheochromocytoma, be sure not to palpate the abdomen. Palpation can cause a sudden release of catecholamines, triggering severe hypertension!

Pheochromocytoma in Children

Cathy Parkes RN, BSN, PHN, CWCN

When caring for a child with pheochromocytoma, be sure not to palpate the abdomen. Palpation can cause a sudden release of catecholamines, triggering severe hypertension!

A patient taking a strong iodine solution to treat hyperthyroidism or thyrotoxicosis in preparation for thyroidectomy should be educated as to the symptoms of iodism (e.g., metallic taste, stomatitis, severe GI upset).

Iodism: Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

A patient taking a strong iodine solution to treat hyperthyroidism or thyrotoxicosis in preparation for thyroidectomy should be educated as to the symptoms of iodism (e.g., metallic taste, stomatitis, severe...

Iodism: Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

A patient taking a strong iodine solution to treat hyperthyroidism or thyrotoxicosis in preparation for thyroidectomy should be educated as to the symptoms of iodism (e.g., metallic taste, stomatitis, severe...

A negative feedback loop governs most endocrine hormones.

Negative Feedback Loop

Cathy Parkes RN, BSN, PHN, CWCN

A negative feedback loop governs most endocrine hormones. In this type of feedback, when the body senses there is not enough of a hormone circulating in the blood, changes are...

Negative Feedback Loop

Cathy Parkes RN, BSN, PHN, CWCN

A negative feedback loop governs most endocrine hormones. In this type of feedback, when the body senses there is not enough of a hormone circulating in the blood, changes are...

A child with Growth Hormone Deficiency would have an average birth weight/length, but show delayed growth through childhood.

Growth Hormone Deficiency

Cathy Parkes RN, BSN, PHN, CWCN

A child with Growth Hormone Deficiency would have an average birth weight/length, but show delayed growth through childhood.

Growth Hormone Deficiency

Cathy Parkes RN, BSN, PHN, CWCN

A child with Growth Hormone Deficiency would have an average birth weight/length, but show delayed growth through childhood.

Antidiuretic hormones (ex: vasopressin and desmopressin) are used to treat Diabetes Insipidus. These medications decrease urine output and increase urine osmolarity. HINT: "Vasopressin and desmopressin will suppress all that urine!"

Antidiuretic Hormones

Cathy Parkes RN, BSN, PHN, CWCN

Antidiuretic hormones (ex: vasopressin and desmopressin) are used to treat Diabetes Insipidus.

Antidiuretic Hormones

Cathy Parkes RN, BSN, PHN, CWCN

Antidiuretic hormones (ex: vasopressin and desmopressin) are used to treat Diabetes Insipidus.

When mixing insulin, remember CLEAR before CLOUDY. Inject air in longer-acting insulin, then inject air in shorter-acting insulin. Without withdrawing needle, draw up shorter-acting insulin, then draw up longer-acting insulin.

Mixing insulin

Cathy Parkes RN, BSN, PHN, CWCN

When mixing insulin, remember CLEAR before CLOUDY. Inject air in the longer-acting insulin (NPH), then inject air in the shorter-acting insulin (regular). Without withdrawing needle, draw up shorter-acting insulin, then draw...

Mixing insulin

Cathy Parkes RN, BSN, PHN, CWCN

When mixing insulin, remember CLEAR before CLOUDY. Inject air in the longer-acting insulin (NPH), then inject air in the shorter-acting insulin (regular). Without withdrawing needle, draw up shorter-acting insulin, then draw...

Diabetic foot care teaching: Inspect feet daily using a mirror. Check shoes for objects; Apply moisturizer to feet, but not between toes; Wear cotton socks; Cut nails straight across; Do not use OTC products; Do not use heating pads on feet.

Diabetic Foot Care

Cathy Parkes RN, BSN, PHN, CWCN

Diabetic foot care teaching: Inspect feet; Apply moisturizer; Wear cotton socks; Cut nails straight across; Don't use OTC products or use heating pads on feet.

Diabetic Foot Care

Cathy Parkes RN, BSN, PHN, CWCN

Diabetic foot care teaching: Inspect feet; Apply moisturizer; Wear cotton socks; Cut nails straight across; Don't use OTC products or use heating pads on feet.

With Diabetes InSIPidus, you will want to SIP a lot of water. Diabetes Insipidus causes the patient to urinate large quantities of dilute urine, leaving the patient dehydrated and thirsty!

Diabetes Insipidus

Cathy Parkes RN, BSN, PHN, CWCN

With Diabetes InSIPidus, you will want to SIP a lot of water. Diabetes Insipidus causes the patient to urinate large quantities of dilute urine, leaving the patient dehydrated and thirsty!

Diabetes Insipidus

Cathy Parkes RN, BSN, PHN, CWCN

With Diabetes InSIPidus, you will want to SIP a lot of water. Diabetes Insipidus causes the patient to urinate large quantities of dilute urine, leaving the patient dehydrated and thirsty!

Nursing Tips - Syndrome of Inappropriate ADH

Syndrome of Inappropriate ADH

Cathy Parkes RN, BSN, PHN, CWCN

Syndrome of Inappropriate ADH (SIADH) causes the excess water to be reabsorbed by the kidneys, resulting in hypervolemia.

Syndrome of Inappropriate ADH

Cathy Parkes RN, BSN, PHN, CWCN

Syndrome of Inappropriate ADH (SIADH) causes the excess water to be reabsorbed by the kidneys, resulting in hypervolemia.

NPH- Intermediate-Acting Insulin

NPH- Intermediate-Acting Insulin

Cathy Parkes RN, BSN, PHN, CWCN

NPH is an intermediate-acting insulin. Onset is 1-2 hours, peak is 4-12 hours, and duration is 18-24 hours. HINT: Neil Patrick Harris (NPH) is a hard-working actor of intermediate height....

NPH- Intermediate-Acting Insulin

Cathy Parkes RN, BSN, PHN, CWCN

NPH is an intermediate-acting insulin. Onset is 1-2 hours, peak is 4-12 hours, and duration is 18-24 hours. HINT: Neil Patrick Harris (NPH) is a hard-working actor of intermediate height....

Acarbose

Acarbose

Cathy Parkes RN, BSN, PHN, CWCN

Acarbose is an alpha glucosidase inhibitor used to treat type 2 Diabetes. It works by inhibiting glucose absorption in the GI tract. HINT: A = "NO" + CARBS. So "No...

Acarbose

Cathy Parkes RN, BSN, PHN, CWCN

Acarbose is an alpha glucosidase inhibitor used to treat type 2 Diabetes. It works by inhibiting glucose absorption in the GI tract. HINT: A = "NO" + CARBS. So "No...

Propylthioruracil (PTU)

Propylthiouracil (PTU)

Cathy Parkes RN, BSN, PHN, CWCN

Propylthiouracil (PTU) is used for Grave's disease (and in preparation for a thyroidectomy). HINT: PTU will Prevent Thyroid from being Up too high.

Propylthiouracil (PTU)

Cathy Parkes RN, BSN, PHN, CWCN

Propylthiouracil (PTU) is used for Grave's disease (and in preparation for a thyroidectomy). HINT: PTU will Prevent Thyroid from being Up too high.

Hypoglycemia

Hypoglycemia

Cathy Parkes RN, BSN, PHN, CWCN

If your patient has hypoglycemia (blood glucose level under 70 mg/dL), provide a 10-20g carbohydrate. This could be a 4 oz juice or regular soda.

Hypoglycemia

Cathy Parkes RN, BSN, PHN, CWCN

If your patient has hypoglycemia (blood glucose level under 70 mg/dL), provide a 10-20g carbohydrate. This could be a 4 oz juice or regular soda.

Diabetes HgbA1C Levels

Diabetes HgbA1C Levels

Cathy Parkes RN, BSN, PHN, CWCN

For patients with Diabetes, the goal is to keep their HgbA1C under 7!

Diabetes HgbA1C Levels

Cathy Parkes RN, BSN, PHN, CWCN

For patients with Diabetes, the goal is to keep their HgbA1C under 7!

Pioglitazone

Pioglitazone

Cathy Parkes RN, BSN, PHN, CWCN

Pioglitazone is an oral antidiabetic medication. Key side effects include fluid retention and elevated LDL levels. HINT: Pioglitazone kind of looks like "pig zone", which can help you remember these...

Pioglitazone

Cathy Parkes RN, BSN, PHN, CWCN

Pioglitazone is an oral antidiabetic medication. Key side effects include fluid retention and elevated LDL levels. HINT: Pioglitazone kind of looks like "pig zone", which can help you remember these...

Glucagon

Glucagon

Cathy Parkes RN, BSN, PHN, CWCN

Glucagon is a hyperglycemic agent used to treat severe hypoglycemia wihen a patient is unable to take oral glucose (ex: unconscious patient). HINT: When the glucose is all GONE, take...

Glucagon

Cathy Parkes RN, BSN, PHN, CWCN

Glucagon is a hyperglycemic agent used to treat severe hypoglycemia wihen a patient is unable to take oral glucose (ex: unconscious patient). HINT: When the glucose is all GONE, take...