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Nancy Caroline Ch. 23 Endocrine Emergencies
Terms in this set (30)
If there is an increased level of antidiuretic hormone in the bloodstream, then:
The renal tubules are stimulated to reabsorb sodium and water.
If the body experiences a drop in volume or blood pressure:
Aldosterone secretion stimulates the kidneys to reabsorb sodium from the urine.
When the pancreas does not produce enough insulin or the cells do not respond to the effects of the insulin that is produced:
Glucose levels in the bloodstream and urine will be elevated.
Insulin resistance occurs when:
The pancreas produces enough insulin, but the body cannot utilize it effectively.
Hyperglycemia is characterized by:
A gradual onset of warm, dry skin
Which of the following interventions would the Paramedic LEAST likely perform on a patient with DKA?
The primary role of Cortisol is to:
Assist with the body's response to stress.
A patient with Cushing Syndrome would MOST likely present with:
Unlike hypothyroidism, hyperthyroidism:
Causes an increase in oxygen demand.
A 50-year-old male with a history of long-term alcohol abuse presents with dull epigastric pain that is worse when he is lying flat. What should you suspect?
A patient with DKA experiences polydipsia as a result of:
A 30-year-old woman presents with 3 days of generalized weakness, dizziness, and excessive urination. She is conscious but restless, and she tells you that she is extremely thirsty. Her BP is 96/66, her pulse rate is 110 bpm and full, and her respirations are rapid and deep. On the basis of this pt's clinical presentation, she will MOST likely require:
Crystalloid fluid hydration
What is the function of estrogen?
It signals the anterior pituitary gland to secrete luteinizing hormone.
A 68-year-old woman presents with a markedly decreased level of consciousness. She was found in bed by her husband. Your primary assessment reveals that her respirations are slow and shallow, her pulse is slow and weak, and her skin is cold and dry. According to the pt's husband, she has had a recent infection, but he cannot remember what the doctor called it. You should be MOST suspicious this pt is experiencing:
In contrast to primary adrenal insufficiency, secondary adrenal insufficiency is caused by:
Decreased Cortisol secretion secondary to a lack of adrenocorticotropic hormone (ACTH) secretion from the pituitary gland
Severe dehydration that commonly accompanies DKA is caused by:
Hyperglycemia-induced osmotic diuresis and vomiting.
Type 1 Diabetes that is secondary to an autoimmune disorder occurs when:
The body builds up antibodies that destroy the Islets of Langerhans
The tissues of the CNS:
Depend entirely on glucose as their source of energy
You are assessing a 70-year-old man with a blood glucose reading of 400 mg/dL and note the presence of sharply peaked T waves on the cardiac monitor. Which of the following meds would this pt MOST likely receive in the prehospital setting?
Prehospital treatment for pts with hyperosmolar hyperglycemic nonketotic coma focuses on:
Airway management and fluid rehydration
Clinical characteristics of Syndrome of Inappropriate Antidiuretic Hormone (SIADH) include:
Systemic fluid overload
Acanthosis (darkening of skin) is a clinical finding that indicates:
Diabetic pts would MOST likely present with atypical S/S of:
Acute Coronary Syndrome
The adrenal medulla secretes norepinephrine following stimulation from the:
Excessive alcohol consumption can lead to low blood glucose levels because:
Alcohol depletes glycogen stores in the liver
When the body's metabolic rate decreases:
The thyroid gland secretes thyroxine
The release of glucagon into the bloodstream stimulates:
The liver to convert glycogen to glucose
You are dispatched to a residence for an elderly woman who is "sick." When you arrive and assess her, you note that she is responsive to pain only and has hot, moist skin and rapid, shallow respirations. You find prednisone, Paxil, and multivitamins on her nightstand. Further assessment of this pt will MOST likely reveal:
Hypoglycemia, hypotension, and ECG evidence of hyperkalemia
Prior to administering 50% Dextrose (D50) via IV push, it is most important to:
Ensure that the IV line is patent and freely flowing
You are dispatched to the residence of a 60-year-old woman who was found unresponsive by her husband. As you are assessing the pt, her husband tells you that she is diabetic and has recently experienced several "small strokes." In addition to managing her airway, you should:
Perform a field glucose test to rule out hypoglycemia
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