Parathyroid Disorders
|
|
- Marlene Blair
- 7 years ago
- Views:
Transcription
1 Parathyroid Disorders Hyperparathyroidism (Hypercalcemia) Overactivity of the parathyroid hormone, with increased production of parathormone. Caused by adenomas,pyelonephritis, or glomerulonephritis. Affects adults between 30 to 70 years of age, twice as often in women. HYPERCALCEMIA: Calcium moves from bones to blood Skeletal l pain on weight bearing pathologic fractures Kidney stones 1
2 Clinical manifestations Bone Demineralization ASSESSMENT Severity of skeletal pain Effectiveness of pain medication Degree of muscle weakness Apathy, nausea, vomiting, anorexia Constipation,personality changes. Renal calculi. 2
3 ASSESSMENT Presence of hematuria and kidney stones. Hypertension and Dysrhythmias. Bradycardia Stupor of coma Diagnostic Tests X-rays Increased PTH levels Alkaline phosphate p levels Calcium level is elevated Phosphorus is decreased Bone density measurements MRI or CT to detect adenoma Medical Management Fluids and LASIX (Acute) Removal of adenoma Removal of parathyroid gland 3
4 Encourage fluid intake Carefully monitor IV therapy Monitor intake and output Strain urine Check calcium levels daily Encourage cranberry juice. NO MILK No antacids Give pain medication as ordered Post surgery care the same as thyroidectomy. Check for Hypocalcemia post-surgery Check for overhydration post-op. 4
5 DISCHARGE Teach good body mechanics Teach patient pain will decrease Encourage mild exercise Teach how to strain urine Hypoparathyroidism (Hypocalcemia) Hypoparathyroidism Decreased activity of parathyroid hormone. Decreased level of serum calcium levels. Most common cause is the inadvertent removal of glands post thyroidectomy. 5
6 Clinical manifestations Neuromuscular hyperexcitability Muscle spasm Hypocalcemic tetany Laryngeal spasm (severe) Stridor, cyanosis and possible asphyxia Clinical manifestations Positive Trousseau s sign Positive Chvostek s sign Decrease cardiac output, Dysrhythmias Diagnostics Tests Decreased calcium levels Increased urinary calcium Increased serum phosphorus level Decrease urinary phosphorus level 6
7 Medical Management Calcium Gluconate IV Give calcium slowly (rapid administration is painful and can cause cardiac arrest) Oral Vitamin D and calcium Check for s/s of hypercalcemia when receiving calcium Assess for respiratory distress Assess renal involvement Diet high in calcium: milk,green vegetables, soybeans, canned fish with bones Check calcium level daily if hospitalized Disorders of the Disorders of the Adrenal Gland 7
8 Cushing syndrome (Adrenal Hyperfunction) Excess Corticosteroids (glucocorticoids) Failure in the negative feedback Cause by : Overstimulation from ACTH hyperplasia of adrenal tissue Tumor of adrenal gland Prolonged administration of steroids. Cushing syndrome Clinical Manifestations Moonface Buffalo hump Thin arms and legs Hypokalemia 8
9 Cushing syndrome Cushing syndrome Clinical Manifestations Hyperglycemia Urine protein, increased calcium in urine infection 9
10 Assessment Assess for ability to concentrate Depression Loss of libido Observe for ecchymoses, petechiaed Clinical Manifestations Thin and fragile skin Delayed wound healing Assess for abdominal enlargement striae Diagnostic tests Clinical appearance Plasma Cortisol levels are elevated Increased level of steroids in 24 hours collection urine. Blood sugar levels Abdominal CT scan and ultrasound 10
11 Medical Management Treat cause Mitotane (Lysodren) therapy Diet low in sodium, low calories and carbohydrates, high in potassium If related to use of steroids: decreased dose, taper down dose or alternate-day regimen. Nursing interventions Gentle care of skin Check for infection Reposition patient to avoid decubitus Promote ambulation Encourage verbalization of feelings Teach mitotane therapy administration Teach the patient to wear an alert bracelet Teach to avoid stress and infections Post adrenalectomy: proper wound care Check for s/s of Addison's disease 11
12 Addison s Disease Adrenal Hypofunction Occurs : post adrenalectomy Pituitary Hypofunction Long-standing steroid therapy Autoimmune disease (most common) Clinical Manifestations Disturbances of the metabolism of fat, carbohydrates, and proteins Electrolytes imbalances, water loss and hypovolemia. Postural hypotension Labile emotional status Muscle weakness, tires easily Clinical Manifestations Darkly pigmented skin: sun-exposed areas, pressure points, joints, and palmar creases 12
13 Clinical Manifestations Clinical Manifestations Weigh loss Nausea/ vomiting Low or high temperature Hyponatremia and Hyperkalemia Diagnostic Tests Decreased sodium Increased potassium Decreased serum glucose Decreased level of urine steroids Low fasting plasma cortisol and aldosterone levels 13
14 Medical Management Steroids replacement:fludocortisone and Hydrocortisone Diet: high in sodium and low in potassium Fluid replacement Check patient s circulatory status Keep I & O records Weigh patient daily Monitor VS and including T Keep patient s room warm Check for s/s adrenal crisis Sudden drop in BP N/V High T Cyanosis 14
15 Teach patient to carry an emergency kit at all time: Hydrocortisone Injection 100 mg to be given IM. STAT Teach family how to give IM meds PHEOCHROMOCYTOMA PHEOCHROMOCYTOMA TUMOR OF THE ADRENAL MEDULLA TUMOR OF THE ADRENAL MEDULLA THAT CAUSES INCREASED EPINEPHRINE AND NOREPINEPHRINE LEVELS 15
16 CLINICAL MANIFESTATIONS HYPERTENSION CRISIS 300/175 ASSESSMENT Assess for severe HA and palpitations Nervousness Take BP and RR Check pupil for dilation Diagnostic Tests High Plasma catecholamines 24 hours Urine Collection for Increased metanephrines values in 90% of patients VMA in 24 hour urine collection is high 16
17 Diagnostic Tests CT scan and MRI of adrenal gland Oral intake is restricted for 8 hours before IVP. Give laxative the night before the test Medical Management Surgical removal of tumor Control hypertension with alphaadrenergic medications Metyrosine to block catecholamines for long-term basis if no surgery Closely monitor BP after surgery Teach patient to avoid stress and take BP. Allow time to rest Record I and O Diet: free of coffee, tea or soft drinks 17
18 THE END 18
Interpretation of Laboratory Values
Interpretation of Laboratory Values Konrad J. Dias PT, DPT, CCS Overview Electrolyte imbalances Renal Function Tests Complete Blood Count Coagulation Profile Fluid imbalance Sodium Electrolyte Imbalances
More informationResponse to Stress Graphics are used with permission of: Pearson Education Inc., publishing as Benjamin Cummings (http://www.aw-bc.
Response to Stress Graphics are used with permission of: Pearson Education Inc., publishing as Benjamin Cummings (http://www.aw-bc.com) Page 1. Introduction When there is an overwhelming threat to the
More informationPHEOCHROMOCYTOMA. Pheochromocytoma. Pheochromocytoma. Signs and Symptoms. Extra-Adrenal Sites. Factors associated with pheochromocytoma include:
Pheochromocytoma PHEOCHROMOCYTOMA By: Belkys Cota, Priscilla Carpio, Melissa Houchin, Leslie N. Beltran. Rare neuroendocrine tumor of the medulla of the adrenal glands (originating in the chromaffin cells),
More informationLAB 12 ENDOCRINE II. Due next lab: Lab Exam 3 covers labs 11 and 12, endocrine chart and endocrine case studies (1-4 and 7).
111 LAB 12 ENDOCRINE II Assignments: Quiz : Endocrine Chart pages 112-114 Due next lab: Lab Exam 3 covers labs 11 and 12, endocrine chart and endocrine case studies (1-4 and 7). Objectives: Review the
More informationNIH Clinical Center Patient Education Materials Managing adrenal insufficiency
not feel well. Your symptoms could include: unusual tiredness and weakness dizziness when standing up nausea, vomiting, diarrhea loss of appetite stomach ache joint aches and pains NIH Clinical Center
More informationOpen the Flood Gates Urinary Obstruction and Kidney Stones. Dr. Jeffrey Rosenberg Dr. Emilio Lastarria Dr. Richard Kasulke
Open the Flood Gates Urinary Obstruction and Kidney Stones Dr. Jeffrey Rosenberg Dr. Emilio Lastarria Dr. Richard Kasulke Nephrology vs. Urology Nephrologist a physician who has been trained in the diagnosis
More informationLaparoscopic Adrenal Gland Removal (Adrenalectomy) Patient Information from SAGES
Laparoscopic Adrenal Gland Removal (Adrenalectomy) Patient Information from SAGES What are the Adrenal Glands? The adrenal glands are two small organs, one located above each kidney. They are triangular
More informationACID- BASE and ELECTROLYTE BALANCE. MGHS School of EMT-Paramedic Program 2011
ACID- BASE and ELECTROLYTE BALANCE MGHS School of EMT-Paramedic Program 2011 ACID- BASE BALANCE Ions balance themselves like a see-saw. Solutions turn into acids when concentration of hydrogen ions rises
More informationDisability Evaluation Under Social Security
Disability Evaluation Under Social Security Revised Medical Criteria for Evaluating Endocrine Disorders Effective June 7, 2011 Why a Revision? Social Security revisions reflect: SSA s adjudicative experience.
More informationLess stress for you and your pet
Less stress for you and your pet Canine hyperadrenocorticism Category: Canine Cushing s disease, Cushing s syndrome Affected Animals: Although dogs of almost every age have been reported to have Cushing
More informationCUSHING S SYNDROME AND CUSHING S DISEASE
PATIENT INFORMATION CUSHING S SYNDROME AND CUSHING S DISEASE YOUR QUESTIONS ANSWERED 2013 Update Contents What are Cushing s syndrome and Cushing s disease? What causes Cushing s syndrome and Cushing s
More informationThis information sheet provides an introduction to the causes and symptoms of adrenal insufficiency and the tests used to diagnose this condition.
Adrenal Insufficiency Patient Information Sheet This information sheet provides an introduction to the causes and symptoms of adrenal insufficiency and the tests used to diagnose this condition. produced
More informationInhaled and Oral Corticosteroids
Inhaled and Oral Corticosteroids Corticosteroids (steroids) are medicines that are used to treat many chronic diseases. Corticosteroids are very good at reducing inflammation (swelling) and mucus production
More informationAdrenal Insufficiency. Adrenal cortex secretions. Adrenal Insufficiency. Adrenal Insufficiency. Acute Adrenal Insufficiency
Adrenal cortex secretions Cortisol secretion Diurnal pattern 24 hour secretion = Stress = demands 30 mg 300 mg to meet physiological Adrenal Insufficiency PRIMARY ADDISON S DISEASE Autoimmune Infection
More informationManagement of Clients with Thyroid and Parathyroid Disorders
Management of Clients with Thyroid and Parathyroid Disorders Black, J.M. & Hawks, J.H. (2005) Chapters 45, (pp 1191-1216) 1216) Baptist Health School of Nursing NSG 4037: Adult Nursing III Carole Mackey,
More informationHypocalcaemia. Shaila Sukthankar
Hypocalcaemia Shaila Sukthankar Ca Daily Requirements Age/ sex Ca (mg) 1-3 350 4-6 450 7-10 550 11-18 M 1000 11-18 F 800 19 + 700 Ca Dietary Sources (NDC) Milk 100 ml =120mg Cheese 15gm = 110mg Yoghurt
More informationHyperthyroidism INTRODUCTION. Overview. Introduction cont. Signs and Symptoms. Signs and Symptoms cont. Marisol Amaral Mona Ruiz Ulises Gonzalez
INTRODUCTION Hyperthyroidism Marisol Amaral Mona Ruiz Ulises Gonzalez What is Hyperthyroidism? It is the 2 nd most prevalent endocrine disorder. Grave s disease is the most common type of hyperthyroidism,
More informationDisorders of Fluid & Electrolyte Balance. Class 6 Objectives. Starling s Law of the Capillary
Disorders of Fluid & Electrolyte Balance University of San Francisco Dr. M. Maag 2003 Margaret Maag 1 Class 6 Objectives Upon completion of this lesson, the student will be able to describe the outcomes
More informationLOYOLA UNIVERSITY MEDICAL CENTER RESIDENCY PROGRAM IN GENERAL SURGERY CLINICAL ROTATION DESCRIPTION
LOYOLA UNIVERSITY MEDICAL CENTER RESIDENCY PROGRAM IN GENERAL SURGERY CLINICAL ROTATION DESCRIPTION Loyola University Medical Center Department of Surgery Endocrine Surgery RESIDENT COMPLEMENT: ROTATION
More informationCanine Hypoadrenocorticism. Diagnosis and Treatment
Diagnosis and Treatment Adrenal Physiology The adrenal gland is a two-part structure located on the cranial pole of each kidney. Essential for life Produces hormones Epinephrine Estrogen Testosterone Cortisol
More informationLifestyle-based Adrenal Dysfunction
Assessing Adrenal Function Primary FDM Testing Glandular vs. Lifestyle Adrenal problems Glandular-based Adrenal Problems Lifestyle-based Adrenal Dysfunction http://www.fmtown.com 1 Causes of Adrenal Dysfunction
More informationDehydration & Overhydration. Waseem Jerjes
Dehydration & Overhydration Waseem Jerjes Dehydration 3 Major Types Isotonic - Fluid has the same osmolarity as plasma Hypotonic -Fluid has fewer solutes than plasma Hypertonic-Fluid has more solutes than
More informationClinical Aspects of Hyponatremia & Hypernatremia
Clinical Aspects of Hyponatremia & Hypernatremia Case Presentation: History 62 y/o male is admitted to the hospital with a 3 month history of excessive urination (polyuria) and excess water intake up to
More informationThe Family Library. Understanding Diabetes
The Family Library Understanding Diabetes What is Diabetes? Diabetes is caused when the body has a problem in making or using insulin. Insulin is a hormone secreted by the pancreas and is needed for the
More informationNutrition and Chronic Kidney Disease
Nutrition and Chronic Kidney Disease National Kidney Foundation s Kidney Disease Outcomes Quality Initiative (NKF-K/DOQI TM ) The National Kidney Foundation is developing guidelines for clinical care to
More informationDiabetic Ketoacidosis: When Sugar Isn t Sweet!!!
Diabetic Ketoacidosis: When Sugar Isn t Sweet!!! W Ricks Hanna Jr MD Assistant Professor of Pediatrics University of Tennessee Health Science Center LeBonheur Children s Hospital Introduction Diabetes
More informationAdult CCRN/CCRN E/CCRN K Certification Review Course: Endocrine 12/2015. Endocrine 1. Disclosures. Nothing to disclose
Adult CCRN/CCRN E/CCRN K Certification Review Course: Carol Rauen RN BC, MS, PCCN, CCRN, CEN Disclosures Nothing to disclose 1 Body Harmony disorders and emergencies Body Harmony (cont) Introduction Disorders
More informationNHS FORTH VALLEY Adult Adrenal Insufficiency Management Guidelines
NHS FORTH VALLEY Adult Adrenal Insufficiency Management Guidelines Date of First Issue 01 August 2006 Approved 01 August 2006 Current Issue Date 30 th May 2014 Review Date 1 st July 2018 Version 1.2 EQIA
More informationEndocrine issues in FA SUSAN R. ROSE CINCINNATI CHILDREN S HOSPITAL MEDICAL CENTER
Endocrine issues in FA SUSAN R. ROSE CINCINNATI CHILDREN S HOSPITAL MEDICAL CENTER 80% of children and adults with FA have an endocrine abnormality Endocrine cells make a hormone (message) Carried in bloodstream
More informationBenign Pituitary Tumor
PATIENT EDUCATION patienteducation.osumc.edu The pituitary gland is a small, pea-sized endocrine gland in the center of the brain. Also known as the master gland, the pituitary gland helps control the
More informationPowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY. 12a. FOCUS ON Your Risk for Diabetes. Copyright 2011 Pearson Education, Inc.
PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY 12a FOCUS ON Your Risk for Diabetes Your Risk for Diabetes! Since 1980,Diabetes has increased by 50 %. Diabetes has increased by 70 percent
More informationSteroids. What are steroids?
Steroids What are steroids? Also known as corticosteroids and glucocorticoids, steroids are hormones that are normally produced by the adrenal glands. They are mainly used in multiple sclerosis (MS) because
More informationInsulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both.
Diabetes Definition Diabetes is a chronic (lifelong) disease marked by high levels of sugar in the blood. Causes Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused
More informationEndocrine Causes of Chronic Fatigue Syndrome (CFS)/Chronic Fatigue Immune. Deficiency Syndrome (CFIDS):
1 Endocrine Causes of Chronic Fatigue Syndrome (CFS)/Chronic Fatigue Immune Deficiency Syndrome (CFIDS): A Brief Guide for Patients and Primary Care Physicians Theodore C. Friedman and Camille Kimball
More informationDisorders of the Adrenal Glands
Disorders of the Adrenal Glands Presley Regional Trauma Center Department of Surgery University of Tennessee Health Science Center Memphis, Tennessee Physiology Cortex Steroid hormones cortisol, aldosterone
More informationX-Plain Vertebral Compression Fractures Reference Summary
X-Plain Vertebral Compression Fractures Reference Summary Introduction Back pain caused by a vertebral compression fracture, or VCF, is a common condition that affects thousands of people every year. A
More informationInstruct patient to: Take own pulse before taking medication Withhold medication and notify health care provider if pulse is greater than 100
Nursing Process Focus: Patients Receiving Levothyroxine (Synthroid) Potential Nursing Diagnoses Tissue perfusion, Risk for Ineffective related to tachycardia secondary to adverse effects of drug therapy
More informationDiabetic Emergencies. David Hill, D.O.
Diabetic Emergencies David Hill, D.O. Class Outline Diabetic emergency/glucometer training Identify the different signs of insulin shock Diabetic coma, and HHNK Participants will understand the treatment
More informationAnatomy: The sella is a depression in the sphenoid bone that makes up part of the skull base located behind the eye sockets.
Pituitary Tumor Your doctor thinks you may have a pituitary tumor. Pituitary tumors are benign (non-cancerous) overgrowth of cells that make up the pituitary gland (the master gland that regulates other
More informationParathyroidectomy An operation to remove overactive parathyroid glands Information for patients
Oxford University Hospitals NHS Trust Parathyroidectomy An operation to remove overactive parathyroid glands Information for patients What are the parathyroid glands? There are four parathyroid glands
More informationPHOSPHATE-SANDOZ Tablets (High dose phosphate supplement)
1 PHOSPHATE-SANDOZ Tablets (High dose phosphate supplement) PHOSPHATE-SANDOZ PHOSPHATE-SANDOZ Tablets are a high dose phosphate supplement containing sodium phosphate monobasic. The CAS registry number
More informationSYNACTHEN i.m./i.v. tetracosactide hexaacetate
New Zealand Consumer Medicine Information SYNACTHEN i.m./i.v. tetracosactide hexaacetate 250 micrograms/ml solution for injection or infusion What is in this leaflet This leaflet answers some common questions
More informationNutrition and Chronic Kidney Disease
Nutrition and Chronic Kidney Disease I have been told I have early kidney failure. What does this mean? What can I expect? This means that your kidneys are not doing as good a job as they should to help
More informationRENAL ANGIOMYOLIPOMA EMBOLIZATION
RENAL ANGIOMYOLIPOMA EMBOLIZATION The information about renal angiomyolipomas on the next several pages includes questions commonly asked about the embolization procedure. Please take a few moments to
More informationEquine Cushing s Disease & Metabolic Syndrome
The Dick Vet Equine Practice Easter Bush Veterinary Centre Roslin, Midlothian EH25 9RG 0131 445 4468 www.dickvetequine.com Equine Cushing s Disease & Metabolic Syndrome Ever wondered why your little pony
More informationMedication Guide Korlym (KOR-lim) (mifepristone) tablets
Medication Guide Korlym (KOR-lim) (mifepristone) tablets Read this Medication Guide before you start taking Korlym and each time you get a refill. There may be new information. This information does not
More informationElectrolyte Imbalances
Imbalance Risk Factors Signs and Symptoms Interventions Electrolyte Imbalances Hypomagne- Malnutrition Tremors Treat underlying causes as semia Alcoholism Cramps prescribed (
More informationBariatric Patients, Nutritional Intervention for
SKILL COMPETENCY CHECKLIST Bariatric Patients, Nutritional Intervention for Link to Dietitian Practice and Skill Standard Met/Initials Prerequisite Skills Competency Areas Knowledge of how to conduct a
More informationSTUDY GUIDE 1.1: NURSING DIAGNOSTIC STATEMENTS AND COMPREHENSIVE PLANS OF CARE
STUDY GUIDE 1.1: NURSING DIAGNOSTIC STATEMENTS AND COMPREHENSIVE PLANS OF CARE WHAT IS A NURSING DIAGNOSIS? A nursing diagnosis is a clinical judgment about individual, family, or community responses to
More informationHormonal Cycles. 1. Briefly describe each component of an endocrine feedback loop: Stimulus. Production Cell. Hormone. Target Cell. Target Cell Action
Hormonal Cycles Directions: a. Click the Contents button. b. Open the Endocrine System File. c. Click Animations. d. Click Hormonal Cycles. 1. Briefly describe each component of an endocrine feedback loop:
More information8/6/2010. Name of medication Concentration (1:1,000 or 1mg/1ml) Expiration date
Learning Objectives: Anaphylaxis & Epinephrine Administration by the EMT Adapted with permission from the Pilot Project for the Administration of Epinephrine by Washington EMTs With successful completion
More informationKidney Stones. This reference summary will help you understand kidney stones and how to treat and prevent them. Kidney
Introduction A kidney stone is a solid piece of material that forms in the kidney from substances in the urine. Kidney stones are fairly common. Although kidney stones can be painful, they are treatable.
More informationSYNACTHEN DEPOT i.m. (tetracosactide hexaacetate) 1 mg/ml Suspension for injection
SYNACTHEN DEPOT i.m. (tetracosactide hexaacetate) 1 mg/ml Suspension for injection Consumer Medicine Information What is in this leaflet Read all of this leaflet carefully before you are given SYNACTHEN
More informationTotal Abdominal Hysterectomy
What is a total abdominal hysterectomy? Is the removal of the uterus and cervix through an abdominal incision (either an up and down or bikini cut). Removal of the ovaries and tubes depends on the patient.
More informationCorporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: testing_serum_vitamin_d_levels 9/2015 2/2016 2/2017 2/2016 Description of Procedure or Service Vitamin D,
More information.org. Metastatic Bone Disease. Description
Metastatic Bone Disease Page ( 1 ) Cancer that begins in an organ, such as the lungs, breast, or prostate, and then spreads to bone is called metastatic bone disease (MBD). More than 1.2 million new cancer
More informationUrinary System. And Adrenal Function
Urinary System And Adrenal Function Overview Kidney anatomy and physiology Urine Ureters, Bladder and Urethra Adrenal Function Functions of the Kidney Filter fluids from the blood Regulate volume and composition
More informationMEDICATION GUIDE ACTOPLUS MET (ak-tō-plus-met) (pioglitazone hydrochloride and metformin hydrochloride) tablets
MEDICATION GUIDE (ak-tō-plus-met) (pioglitazone hydrochloride and metformin hydrochloride) tablets Read this Medication Guide carefully before you start taking and each time you get a refill. There may
More informationJeopardy Topics: THE CLOT STOPS HERE (anticoagulants) SUGAR, SUGAR, HOW D YOU GET SO HIGH (insulins)
Jeopardy Topics: THE CLOT STOPS HERE (anticoagulants) SUGAR, SUGAR, HOW D YOU GET SO HIGH (insulins) I HEAR YA KNOCKING BUT YOU CAN T COME IN (electrolytes) TAKE MY BREATH AWAY (Opiates-morphine) OUT WITH
More informationHelping you manage symptoms and side effects associated with metastatic breast cancer treatment
Helping you manage symptoms and side effects associated with metastatic breast cancer treatment 2015 AstraZeneca. All rights reserved. 3156710 Last Updated 9/15 with metastatic breast cancer treatment
More informationAMERICAN BRAIN TUMOR ASSOCIATION. Steroids
AMERICAN BRAIN TUMOR ASSOCIATION Steroids ACKNOWLEDGEMENTS ABOUT THE AMERICAN BRAIN TUMOR ASSOCIATION Founded in 1973, the American Brain Tumor Association (ABTA) was the first national nonprofit organization
More informationWeek 30. Water Balance and Minerals
Week 30 Water Balance and Minerals Water: more vital to life than food involved in almost every body function is not stored--excreted daily largest single constituent of the human body, averaging 60% of
More informationWhat Each Vitamin & Mineral Does In Your Body. Vitamin A
What Each Vitamin & Mineral Does In Your Body Vitamin A Prevents skin disorders, such as acne, wrinkling and age spots. Enhances the immune system protects against colds, flu, and infections to kidney,
More informationUCSF Kidney Transplant Symposium 2012
UCSF Kidney Transplant Symposium 2012 Nutrition Fitness in Kidney Transplant Mary Ellen DiPaola, RD, CDE UCSF Outpatient Dietitian Goal of Nutrition Fitness for Transplant Nutritional guidance of pre-
More informationX-Plain Kidney Stones Reference Summary
X-Plain Kidney Stones Reference Summary Introduction Kidney stones are fairly common. Although they can be very painful, they are treatable, and in many cases preventable. This reference summary will help
More informationCauses, incidence, and risk factors
Causes, incidence, and risk factors Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both. To understand diabetes,
More informationGFR (Glomerular Filtration Rate) A Key to Understanding How Well Your Kidneys Are Working
GFR (Glomerular Filtration Rate) A Key to Understanding How Well Your Kidneys Are Working www.kidney.org National Kidney Foundation's Kidney Disease Outcomes Quality Initiative Did you know that the National
More informationHigh Blood pressure and chronic kidney disease
High Blood pressure and chronic kidney disease For People with CKD Stages 1 4 www.kidney.org National Kidney Foundation's Kidney Disease Outcomes Quality Initiative Did you know that the National Kidney
More informationThyroid Disorders. Hypothyroidism
1 There are a number of problems associated with the thyroid gland. Hypothyroidism, hyperthyroidism, and thyroid nodules will be presented here. The thyroid gland is located in the middle of the neck,
More informationNUTRITION AND HEMODIALYSIS
NUTRITION AND HEMODIALYSIS www.kidney.org National Kidney Foundation's Kidney Disease Outcomes Quality Initiative Did you know that the National Kidney Foundation's Kidney Disease Outcomes Quality Initiative
More informationTotal Vaginal Hysterectomy
What is a total vaginal hysterectomy? Is the removal of the uterus and cervix through the vagina. Removal of the ovaries and tubes depends on the patient. Why is this surgery used? To treat disease of
More informationEXECUTIVE BLOOD WORK PANEL
EXECUTIVE BLOOD WORK PANEL Below is a list of all blood and urine testing done on the day of your Executive Medical. MALE Serum Glucose Random Serum Glucose Fasting Creatinine Uric Acid Sodium Potassium
More informationWhat Causes Cancer-related Fatigue?
What Causes Cancer-related Fatigue? The causes of cancer-related fatigue are not fully understood. It may be the cancer and/or the cancer treatment. Cancer and cancer treatment can change normal protein
More informationFrequently Asked Questions: Gastric Bypass Surgery at CMC
Frequently Asked Questions: Gastric Bypass Surgery at CMC Please feel free to talk with any member of the Obesity Treatment Center team at Catholic Medical Center regarding any questions, concerns or comments
More informationFluid, Electrolyte, and Acid-Base Balance
Distribution of Body Fluids Fluid, Electrolyte, and Acid-Base Balance Total body fluids=60% of body weight Extracellular Fluid Comp 20% of Total body wt. Interstitial= 15% of total body wt. Intravascular=5%
More informationManaging your symptoms: clinical syndromes and the drugs to treat them. Laurence Katznelson, MD
Managing your symptoms: clinical syndromes and the drugs to treat them Laurence Katznelson, MD Carcinoid symptoms Flushing (peripheral vasomotor symptoms) Diarrhea Bronchoconstriction (ashma/wheezing,
More informationHEAT-RELATED ILLNESS AND STUDENT ATHLETES. Diana L. Malone, Ph.D. Training & Consultation Coordinator
HEAT-RELATED ILLNESS AND STUDENT ATHLETES Diana L. Malone, Ph.D. Training & Consultation Coordinator HEAT-RELATED ILLNESS Objectives: Factors that create HRI Stages of HRI Care Basic First Aid Protecting
More informationStepping toward a different treatment option LEARN WHAT ACTHAR CAN DO FOR YOU
FOR MS RELAPSES Stepping toward a different treatment option LEARN WHAT ACTHAR CAN DO FOR YOU As a person with multiple sclerosis (MS), you know firsthand the profound impact MS relapses can have on your
More informationHOW TO CARE FOR A PATIENT WITH DIABETES
HOW TO CARE FOR A PATIENT WITH DIABETES INTRODUCTION Diabetes is one of the most common diseases in the United States, and diabetes is a disease that affects the way the body handles blood sugar. Approximately
More informationWhat You Need to Know for Better Bone Health
What You Need to Know for Better Bone Health A quick lesson about bones: Why healthy bones matter The healthier your bones The more active you can be Bone health has a major effect on your quality of life
More informationQuiz Urinary System. 1. The kidneys help regulate blood volume. help control blood pressure. help control ph. All of the above are correct.
Quiz Urinary System 1. The kidneys help regulate blood volume. help control blood pressure. help control ph. All of the above are correct. 2. The location of the kidneys in relationship to the peritoneal
More informationEndocrine Responses to Resistance Exercise
chapter 3 Endocrine Responses to Resistance Exercise Chapter Objectives Understand basic concepts of endocrinology. Explain the physiological roles of anabolic hormones. Describe hormonal responses to
More informationDiabetes Hypoglycemia/Hyperglycemia Reaction
Diabetes Hypoglycemia/Hyperglycemia Reaction Hypoglycemic Reaction (Insulin Shock) A. Hypoglycemic reactions (insulin reactions) should be treated according to current nursing and medical recommendations.
More informationThe Endocrine System 87
The Endocrine System The endocrine system provides long-term regulation and adjustment of homeostatic mechanisms and a variety of body functions. For example, the endocrine system is responsible for the
More informationVitamin D Deficiency and Thyroid Disease. Theodore C. Friedman, M.D., Ph.D.
Vitamin D Deficiency and Thyroid Disease Theodore C. Friedman, M.D., Ph.D. Vitamin D deficiency and thyroid diseases Vitamin D is an important vitamin that not only regulates calcium, but also has many
More informationCalcium (serum, plasma, blood)
Calcium (serum, plasma, blood) 1 Name and description of analyte 1.1 Name of analyte Calcium (total in serum, plasma, ionised in blood (see 2.1 (2)). 1.2 Alternative names None 1.3 NMLC code 1.4 Description
More informationLaboratory Monitoring of Adult Hospital Patients Receiving Parenteral Nutrition
Laboratory Monitoring of Adult Hospital Patients Receiving Parenteral Nutrition Copy 1 Location of copies Web based only The following guideline is for use by medical staff caring for the patient and members
More informationINFORMATION FOR PATIENT. WARNINGS Using more than one enema in 24 hours can be harmful.
FLEET ENEMA, A SALINE LAXATIVE - ready-to-use squeeze bottle FLEET ENEMA EXTRA, A SALINE LAXATIVE - ready-to-use squeeze bottle FLEET PEDIA-LAX ENEMA, A SALINE LAXATIVE - ready-to-use squeeze bottle FLEET
More informationBulimia Nervosa. This reference summary explains bulimia. It covers symptoms and causes of the condition, as well as treatment options.
Bulimia Nervosa Introduction Bulimia nervosa, or bulimia, is an eating disorder. A person with bulimia eats a large amount of food in a short amount of time. To prevent weight gain, the person then purges.
More informationHigh Blood Pressure and Chronic Kidney Disease. For People With CKD Stages 1 4
High Blood Pressure and Chronic Kidney Disease For People With CKD Stages 1 4 National Kidney Foundation s Kidney Disease Outcomes Quality Initiative (NKF-KDOQI ) The National Kidney Foundation s Kidney
More informationX-Plain Low Testosterone Reference Summary
X-Plain Low Testosterone Reference Summary Introduction Testosterone is the most important male sex hormone. It helps the body produce and maintain adult male features. Low levels of testosterone affect
More informationETIOLOGIC CLASSIFICATION. Type I diabetes Type II diabetes
DIABETES MELLITUS DEFINITION It is a common, chronic, metabolic syndrome characterized by hyperglycemia as a cardinal biochemical feature. Resulting from absolute lack of insulin. Abnormal metabolism of
More informationBlood in the urine (hematuria)
Blood in the urine (hematuria) Hematuria refers to the presence of blood in the urine. It is important to investigate the cause of hematuria because rarely, it is caused by a serious condition, such as
More informationType 2 diabetes Definition
Type 2 diabetes Definition Type 2 diabetes is a lifelong (chronic) disease in which there are high levels of sugar (glucose) in the blood. Type 2 diabetes is the most common form of diabetes. Causes Diabetes
More informationFainting - Syncope. This reference summary explains fainting. It discusses the causes and treatment options for the condition.
Fainting - Syncope Introduction Fainting, also known as syncope, is a temporary loss of consciousness. It is caused by a drop in blood flow to the brain. You may feel dizzy, lightheaded or nauseous before
More informationDIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY
DIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY First Edition September 17, 1997 Kevin King R.N., B.S., C.C.R.N. Gregg Kunder R.N., B.S.N., C.C.T.C. 77-120 CHS UCLA Medical Center
More informationVitamin D Deficiency and Thyroid Disease. Theodore C. Friedman, M.D., Ph.D.
Vitamin D Deficiency and Thyroid Disease Theodore C. Friedman, M.D., Ph.D. Vitamin D deficiency and thyroid diseases Vitamin D is an important vitamin that not only regulates calcium, but also has many
More informationLevel 3. Applying the Principles of Nutrition to a Physical Activity Programme Level 3
MULTIPLE CHOICE QUESTION PAPER Paper number APNU3.0 Please insert this reference number in the appropriate boxes on your candidate answer sheet Title MOCK PAPER Time allocation 50 minutes Level 3 Applying
More informationChronic Kidney Disease
Page 1 of 6 Chronic Kidney Disease Chronic kidney disease (CKD) means that your kidneys are not working as well as they once did. Various conditions can cause CKD. Severity can vary but most cases are:
More informationPatients First. Total Parenteral Nutrition: Discharge Instructions. Handwashing is a very important step in preventing infection.
Patient Education CARE AND TREATMENT Handwashing is a very important step in preventing infection. Total Parenteral Nutrition: Discharge Instructions This information will help guide you in learning about
More information