Nursing Tips
Endocrine (25)

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

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

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

Lactation
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
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."

Addison's Disease
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
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
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
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...

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

Corticosteroids: Patient Teaching
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
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...

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

Pheochromocytoma in Children
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
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!

Iodism: Patient Teaching
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
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...

Negative Feedback Loop
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
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...

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

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

Mixing insulin
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
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
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
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.

Diabetes Insipidus
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
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!

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

NPH- Intermediate-Acting Insulin
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
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 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
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...

Propylthiouracil (PTU)
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)
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
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
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
For patients with Diabetes, the goal is to keep their HgbA1C under 7!
Diabetes HgbA1C Levels
For patients with Diabetes, the goal is to keep their HgbA1C under 7!

Pioglitazone
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
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 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
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...
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