MEDSURGE 3-9-09

GH- growth Hormone

ACTH- aldosterone mineral corticoroid (controls sodium) (increases salt in body by decreasing urine output)

Ultima Regula- regulates the females monthly cycle

PROLACTIN- milk letdown reflux

OXYTOCIN- contract uterus during birth

-Sodium and potassium work together.

Sodium is extracellular and Potassium is intracellular

Sodium conducts electricity.

If your potassium is at wacky levels, administering their dijoxin med will kill them.

-if you have potassium extracellular in the body, give insulin and potassium will go back into cell. Intracellular

LEPATORAL- both alpha and beta blockers.

OLOL’s are betablcokers

PRIL’s ace inhibitor (horomone from adrenal gland)

Ex Lisinopril

Acupril

H2 blockers

DINES- ranitidines, zinethidine

TATIN’s Cholesterol decreaser

Simvastatin

ORAZOLE’s- protein pump inhibitor and HCI- acid

EX omeprazole

SARTAN- block angiotension receptors –also used by diabetics

DIABETES INSIPIDUS- the kidney’s doesn’t respond to ADH

BRAIN TUMOR- will increase the urine output of concentrated urin

GLOMULAR FILTRATION RATE- 180/MIN x 60 min x24 hrs = 99% of FLUID IN BODY filtered in kidney. The remaining 1 % = about 2-3 liters which is urine output.

DEMORREGIN- used for diabetes

SIADH- patient retains water, and isn’t filtered out through kidney.

A person can be dehydrated but have fluid retention in the body. They are dehydrated because the water is extracellular not intracellular

VASOPRSSIN- ex angiotension 2

PEDS 3-9-09

Kidney-s are immature because they haven’t developed fat structures around them

PHARAPHIMOSIS- happens when the forskin is retracted and it get stuck

UTI, and nephronic syndromes are the ones most commonly seen.

-cranberry used in chronic UTI patients

ALBUMIN- is a protein tha keeps the fluid in the blood vessels.

-if glomular permeability is not working, all the fluid leaks to interstitial spaces

Hypovolemic- referring to fluid in blood vessels, not in body

The stimulation of ADH and aldosterone may increase B/P

NEPHROTIC SYNDROME- they have an increase of cholesterol and triglycerides.

-pay attention to the end of the word ex-

Hypoalbuminemia- low albumin in blood

Hypoalbuminuria- low albumin in urine

Kids that have nephritic syndrome may have relapse. Patients need to know how to test for protein in the blood

Steroids- watch for fever and infection and hyperglycemia.

-may have aseptic nevrosis

WILMUS TUMOR- don’t palpate more than necessary because of risk of bursting. Can spread to lungs sometimes.

MEDSURGE 3-9-09 (AFTERNOON)

Overdosing on potassium equals irreversalb edeath.

Ex- patient burn including their cells. The cells burst out with potassium and it goes into bloodstream causing sodium to be decreased, reducing amount of electricity that runs the heart. The heart stops

ADRENAL GLANDS- epinephrine, nor epinephrine- a vasopressor, and dopamine

DOPAMINE- comes from the brain, substatia negra, also third colacholamine

PREDNISONE- antinfammatory, and if you’re diabetic, the glucose increases.

ANDROGENS- testosterone, estrogen, progesterone

ADDISON’S DISEASE- syptoms of hyperthyroids

-mixedema

-depressed

-bradycardia

-hypoglycemia

-decreased liver function

-edema- give then thyroid medicine

Body maintains homeostasis. If body see’s its low on something, it makes more

ADDISONIAN CRISIS- if you stop taking the meds, you can die

GRAVES DISEASE- thyroid crisis (thyroid storm) SX- tachycardia of 110-160 and hyperthermia

MALIGNANT HYPERTHERMIA- has a high temperature and the patient can die.

CUSHINGS DISEASE- syptoms

-truncal obesity

-protein wasting

-purple sticia

-osteoporosis

-hypokalemia

-hirsutism

-hypokalemia

-Red face

-delayed would healing

-mood disturbances.

Cause- adrenal tumors

Tests: DST

LABS- hypocalcemia

Hypernetrimia

Hyperglycemia

TX- drugs, radiation and surgery

If its removed by surgery, patiet will need permanent replacement surgery.

DISCLAIMER: THESE ARE STUDENT NOTES TAKEN OF LECTURE INFORMATION PRESENTED IN CLASS AND IS NOT AN OFFICIAL DOCUMENT FROM THE INSTRUCTORS OR THE FACULTY OF RTC. THE INFORMATION PRESENTED MAY NOT BE 100% COMPLETE OF WHAT WAS LECTURED IN CLASS AND SHOULD NOT BE USED AS AN ONLY SOURCE OF INFORMATION FOR ANY TESTS, QUIZ, OR FINAL EXAMS.