NCLEX Condition Review

Often triggered by stressors, trauma, infection, dka, preganancy. Life threatening. Fever, palpitations, tachycardia, systolic hypertension.

Affects most body systems creating HYPERmetabolism and increased sympathetic N.S. Activity. Diaphoresis, Tachypenia, Tachi card, Dysrythmias HEAT INTOLERANCE/ FINE SILKY HAIR

Pt. has a goiter (enlargement of thyroid)/ Exopthalmos.

Cool, pale yellowish, dry course and scaly skin. Women more than men. Results in a mucinous edema called MYXEDEMA. This edema changes the patients appearance and forms EVERYWHERE. Tongue, laranx, voice turns husky.

Maintain Calcium and Phosphate balance. Increases in ParaThyroid Hormone act directly on the kidney causing INC. Reabsorbtion of Ca and increased excretion of Phos. Increas PTH acts causes increasing OSTEOCLASTIC activity releasing Ca and Phos into blood. Can cause kidney stones. Causes HYPOCALCEMIA = Posive chvosteks and Trousseaus sign.

Polyuria, polydipsia, polyphagia. Polyuria developes due to excessive glucose in blood. Excrete Na and K as well leading to excessive thirst -polydipsia. Because of the lack of glucose, cells are not being feed = polyphagia.

Water Metabolism problem caused by an Anti Diuretic Hormone DEFICIENCY resulting in large amounts of Dilute Urine causing increased thirst! Poly -Urea, Poly Dipsia. Can be caused by lithium.

ADH continues to be released even plasma is hypo-osmolar. WATER IS RETAINED resulting in Dilutional HYPONATREMIA

HYPERCORTISOLISM-Excessive excretion of glucocorticoids from the adrenal cortex. INcrease in total body fat and fat redistribution create a buffalo hump and moon face ajnd paper like skin. decrease muscle. pituitary cushings, adrenal cushings and cushings syndrome from drug therapy. Higher fasting Blood glucose. Most likely from an ADENOMA

Brudzinski's Sign- flexion results in cervical pain and reflex FLEXION of the hip and knee.

Kernigs Sign- Reflex contraction and pain on extension of the lower leg from a postion of 90 degree hip flexion while the patient is supine.

Left ventricular failure, volume overload

Forceful Atrial Contraction from resistance to ventricular filling.

Sarcoidoisis is a chronic, multi-system granulomatous disease of unknown origin. Affectsl the lungs the most. Possible spontaneous resolution, Corticosteroids are the most commonly used agents for treatment.

MG is an autoimmune process in which acetlycholine receptors are attacked at the NM junction.
MG Crisis= Acute exacerbation of muscle weakness
Tensilon Test IV administration of an Anticholinesterse agent. MG Crisis = improved contractility. Cholinergic crisis = too much Anticholinesterase drugs, may have fasciulations and sweating. Tensilon increases muscle weakness in ACH Crisis and atropine is Antidote.