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Altered Hormone and Metabolic Function (Hypothyroidism (weight gain, dry…
Altered Hormone and Metabolic Function
Inappropriate Antidiuretic Hormone Secretion
Decreased Urine Output, Concentrated urine output
Sodium less than 135 mEq/L, Plasma osmolality less than 280 mOsm/kg
Water restriction, ADH blockers, IV solution
Hypothyroidism
weight gain, dry hair, constipation, fatigue
patient history, elevated levels of TSH, physical examination
normalize TSH, t3 and T3, thyroid hormone replacement, dynthroid
TSH, T3, T3
Cushing Syndrom
glucose intolerance, obesity of face and neck, "moon face" "buffalo hump" osteoporosis, thin skin
24 hr. urine sample, cortisol elevation,
remove cause of hormone production, corticosteroid medication
Adrenal glands
Hyperthyroidism
weight loss, excessive metabolic rate, diarrhea
family history of autoimmune, suppressed TSH levels, uptake of iodine by thyroid
thyroid hormone production blockers, thyroid gland removal
Addison Disease
deficient levels of glucocorticoid, mineralocorticoids, androgens- darkening of skin, hyper pigmentation, darkening of mucus membranes
clinical presentation, electrolyte levels, depressed corticosteroid levels after administrations of ACTH
IV solution, hydrocortisone sodium succinate, decreased sodium intake
pituitary, ACTH deficiency
Diabetes Insipidus
Thirst, diluted urine, dehydration
Enlarged bladder, low specific gravity in urine, low urine osmolality
IV treatment, desmopressin, vasopressin