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Memorize! - ANCC

Terms in this set (298)

Hyponatremia
3 Classes:
1) Hypotonic: hypovolemia (Urine Na <10), hypovolemia (Urine Na > 20), and hypervolemia
2) Isotonic - Pseudo (Tx with reduce fat diet)
3) Hypertonic (serum osmol > 290) - HHNK/DKA
Hypernatremia
3 Classes:
1) Hypovolemia - NS or 0.5 NS
2) Euvolemia - D5W
3) Hypervolemia - D5W + Diuretics
Labs for Grave's Disease
Low TSH, High T3, High T4
Inc ANA w/o SLE or RA
High Radioactive iodine test = Graves
Low Radioactive iodine test = Subacute thyroiditis
Cushing's Disease Triad
Hyperglycemia
Hypernatremia
Hypokalemia
...(Glycosuria, leukocytosis, elevated cortisol in AM > 23mcg/dL)
Addison's Disease Triad
Hypoglycemia
Hyponatremia
Hyperkalemia
...(Inc ESR, lymphocytosis, low cortisol in AM < 5mcg/dL)
Consyntropin Test
Serum ACTH test - GOLD STANDARD
A synthetic ACTH is infected into the blood stream
After injection:
1) Increase in cortisol blood level = (+) Cushing's
2) Cortisol level still low = (-) Addison's
SUUS in SIADH
Serum Osmal <
Urine Osmal >
Urine Sodium >
Specific Gravity >
SUUS in DI
Serum Osmal >
Urine Osmal <
Urine Na <
Specific Gravity <
Dessopressin Challenge Test
Used in DI to distinguish b/t Central of Nephrogenic DI
(+) = Inc in Urine Osmol by >50% = Central DI
(-) = Inc in Urine Osmol by < 50% = Nephrogenic
Tests for Pheochromocytoma?
1) TSH - 1ST!!
2) Plasma metanephrine = Increased
3) Urine Catecholamines = Total and fractioned for metanephrines, VMA (vanillylmendelic acid) and Cr.
4) CT to confirm!!
Aortic Stenosis
Blowing/rough, radiation to neck
Aortic Regurgitation
Soft Blowing, no other characteristics
Mitral Stenosis
Crescendo! LOUD, low pitch
Mitral Regurgitation
Musical, High pitch
Radiation to the axilla or base
Kentucky is associated with what disease?
Increased fluid:
1) CHF
2) Pregnancy
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