Medical-surgical Nursing Demystified

CHAPTER 8 Endocrine System^339 INTERPRETING TEST RESULTS Decreased or normal serum T4 level caused by an underactive thyroid. I ...

(^340) Medical-Surgical Nursing Demystified The need for intermittent lab work to monitor the thyroid. Visits to the primary ca ...

CHAPTER 8 Endocrine System^341 Decreased prolactin due to a mass, causing diminished or lack of prolactin from the anterior pit ...

(^342) Medical-Surgical Nursing Demystified occurs after epiphyseal closure, which is rare, the patient has acromegaly resulting ...

CHAPTER 8 Endocrine System^343 Educate the patient: Don’t stop taking hormone replacement suddenly. Hyperprolactinemia WHAT ...

(^344) Medical-Surgical Nursing Demystified Serum testosterone, FSH, LH, prolactin, and estradiol may be decreased in hypogonad ...

CHAPTER 8 Endocrine System^345 Diabetes Insipidus WHAT WENT WRONG? Either a decrease in the production of an antidiuretic hormon ...

(^346) Medical-Surgical Nursing Demystified TREATMENT Administer replacement ADH hormone such as desmopressin to return nor- ma ...

CHAPTER 8 Endocrine System^347 hypothalamus or pituitary, inflammation of the brain, some medications such as selectiveserotonin ...

(^348) Medical-Surgical Nursing Demystified Weigh the patient daily using the same scale, at same time of day with similar clot ...

CHAPTER 8 Endocrine System^349 Positive ACTH stimulation test; ACTH acts on the adrenal cortex to stimu- late adrenal hormone s ...

(^350) Medical-Surgical Nursing Demystified PROGNOSIS Patients can expect a normal life span once the tumor is removed; however, ...

CHAPTER 8 Endocrine System^351 NURSING INTERVENTION Daily weighing to monitor fluid status. Monitor input and output to ensure ...

(^352) Medical-Surgical Nursing Demystified HALLMARK SIGNS AND SYMPTOMS Increased blood pressure caused by the excess aldostero ...

CHAPTER 8 Endocrine System^353 Weigh the patient daily. Explain to patient: Thirst, dry mucous membranes are caused by low sodi ...

(^354) Medical-Surgical Nursing Demystified TREATMENT Surgical removal of the adrenal tumor. Administer antihypertensive medica ...

CHAPTER 8 Endocrine System^355 hypoparathyroidism is destruction of the glands by an autoimmune cause. Para- thyroidectomy is no ...

(^356) Medical-Surgical Nursing Demystified Oral calcium—calcium gluconate, lactate, carbonate (Os-Cal). Large doses of vitamin ...

CHAPTER 8 Endocrine System^357 HALLMARK SIGNS AND SYMPTOMS Asymptomatic Increased serum calcium level Bone pain or fracture as ...

(^358) Medical-Surgical Nursing Demystified Force fluids. Give the patient acid-ash juices such as cranberry juice. Strain urin ...