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nursing care for endocrine disorders

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الكلية كلية التمريض     القسم قسم التمريض العام     المرحلة 2
أستاذ المادة حسام عباس داود السلطاني       6/25/2011 9:31:05 AM

ENDOCRINE DISORDER

. Diabetes mellitus

 Assistant Lecturer Hussam Abbas

 . Definition

1. Chronic disorder of carbohydrate metabolism with subsequent alteration of protein and fat metabolism Results from a disturbance in the production, action, and rate of utilization of insulin

 Five types of diabetes mellitus

 1. Type I (insulin-dependent diabetes mellitus [IDDM], or ketosis prone): usually develops in childhood

2. Type II (non-insulin-dependent diabetes mellitus [NIDDM], or ketosis-resistant): usually develops after age 30

3. Gestational diabetes mellitus (GDM): occurs with pregnancy

 4. Secondary diabetes: induced by trauma, surgery, or medications; can be treated as Type I or type II

5. Maturity-onset diabetes (MODY): Type II that develops in teens and young adults under age 30 .

 Possible etiology

1.Failure of body to produce insulin /

2. Blockage of insulin supply

,3. Autoimmune disease _

 4. Receptor defect in normally insulin-responsive cells e

,5. Genetics ,

,6. Exposure to chemicals

7. Hyperpituitarism

 8. Cushing s syndrome

 9. Hyperthyroidism

10. Infection

 11. Surgery x,.

12. Stress

13. Medications

 14. Pregnancy

 15. Trauma

 . Possible clinical manifestations

1. Weight loss -

2. Anorexia

 

3. polyphagia

 4. Acetone breath

 5.Weakness

6. Fatigue

 7. Dehydration

 8. Pain

 9. Paresthesia

 10. Polyuria

11. Polydipsia

 12. Kussmaul respirations

13.Multiple infections and boils

14. Flushed, warm, smooth, shiny skin

 15. Atrophic muscles

 6. Poor wound healing

 17. Mottled extremities

 18. Peripheral and visceral neuropathies

 19. Retinopathy

 20. Sexual dysfunction

21.Blurred vision,

. Possible diagnostic test findings

 1. Blood chen;istry.increased gulcose, potassium, chloride, ketones, cholesterol, and trig lycerides; decreased COQ; pH less than 7.4

 2. Urine chemistry: increased glucose, ketones

3. FBS: increased

4. GTT: hyperglycemia

5. Postprandial blood sugar: hyperglycemia

 Nursing interventions and responsibilities

1. Maintain the patient s diet

 2. Force fluids

 3. Assess acid-base and fluid balance

 4. Monitor and record VS, U0, I/O, finger sticks for blood glucose, and laboratory studies

 5. Administer medications, as prescribed

`6. Encourage the patient to express feelings about diet, medication regimen, and body image changes

 7. Encourage activity, as tolerated

 8. Weigh the patient weekly

 9.Provide meticulous skin and foot care

 10. Monitor the patient for infection

 11. Maintain a warm and quiet environment

 12. Monitor wound healing

13. foster independence

14. Determine the patient s compliance to diet, exercise, and medication regimens

 Teaching goals (instructions to the patient and family)

1. Keep follow-up appointments

 2. Exercise regularly

3: Stop smoking

4. Maintain a normal weight

5.Know the action, side effects, and scheduling of medications

6. Identify ways to reduce stress

 7.- Recognize the signs and symptoms of hyperglycemia and hypoglycemia

8. Alternate rest periods with ctivity -

9. Monitor self for infection skin breakdown, changes in peripheral circulation, poor wound healing, and numbness in extremities

 10. Follow dietary recommendations and restrictions

11. Maintain a quiet environment

 

 12. Seek help from community agencies and resources

 13. Know and use proper dietary substitutions if unable to take prescribed diet because of illness

 14. Adjust diet and insulin for changes in work, exercise, trauma, infection, fever, and stress

 15. Demonstrate administration of hypoglycemics

16.Demonstrate home blood glucose monitoring technique (HBGM)

 17.Complete daily skin and foot care

 18.Wear a medical identification bracelet

19. Carry an emergency supply of glucose

20. Seek counseling for sexual dysfunction and feelings about body image changes

21. Avoid use of over-the-counter medication

22. Avoid alcohol

23. Demonstrate use of the subcutaneous insulin infusion therapy (Insulin Pump)

24. Adhere to the treatment regimen to prevent complications

 Possible medical complications

1.Ketoacidosis (diabetic coma): abdominal pain; acetone breath; altered consciousness; hot, flushed skin; nausea; vomiting; hypotension; oliguria; tachycardia

2.Insulin reaction (hypoglycemia): hunger, weakness, hand tremors, pallor, tachycardia, diaphoresis, irritability, confusion, diplopia, slurred speech, headaches

 3. Infections

4.Periphral neuropathies

5.Glaucoma

 6.Impotence

 7.Coronary artery disease

8. Gangrene

9.Cercbrovascular accident (CVA)

10 Chronic renal failure

 11. Hypovolemia

 12. Diabetic retinopathy

 13. Peripheral vascular disease

 

 Hyperthyroidism .

 Definition-increased synthesis of thyroid hormone from overactivity (Graves disease) or change in thyroid gland (toxic nodular goiter) .

 Possible etiology

1. Autoimmunc disease

 2. Genetic

 3. Psychological or physiologic stress

 4. Thyroid adenomas

5. Pituitary tumors

 6. Infection

 Possible clinical manifestations

 1. Anxiety

,2. Flushed, smoooth skin

3. Heat intolerance

 4. Mood swings

5. Diaphoresis

 6. Tachycardia

7. Palpitations

.8. Dyspnca

 9. Weakness

 10. Increased hunger

 11. Increased systolic blood pressure

12. Tachypnea

13. Fine hand tremors

 14. Fxophthahnos

` 15. Weight loss

 16. Diarrhea

 17. Hyperhydrosis

18. Bruit or thrill over thyroid .

 Possible diagnostic test findings

 1. Thyroid scan: nodules

2. Blood chemistry: increased T3, T4, decreased cholesterol

 3. ECG: atrial fibrillation

 4. BMR: increased .

. Nursing interventions and responsibilities

 1. Maintain the patient s diet

 2. Avoid stimulants, such as drugs and foods that contain caffeine

 3. Administer I V fluids

 4. Assess fluid balance

 5. Monitor and record VS, UO, 1/0, and laboratory studies

 6. Administer medications, as prescribed

 7. Weigh the patient daily

 8. Provide rest periods

9. Provide a quiet, cool environment

 10. Provide eye and skin care

 11. Allay the patient s anxiety

12. Encourage the patient to express feelings about changes in body image

 13. Provide postchemotheraputic and postradiation nursing care

 a. Provide skin, mouth, and perineal care

 b. Encourage dietary intake

 c. Administer antiernetics and antidiarrheals, as prescribed

 d. Monitor for bleeding, infection, and electrolyte imbalance

 e. Provide rest periods

. Teaching goals (instructions to the patient and family)

 I . Keep follow-up appointments

2. Stop smoking

3. Maintain a normal weight

 4. Know the action, side effects, and scheduling of medications

 5. Identify ways to reduce stress

 6. Recognize the signs and symptoms of thyroid storm

7. Adhere to activity limitations

 8. Avoid exposure to people with infections

 9. Alternate rest periods with activity 10. Monitor self for infection 11. Follow dietary recommendations and restrictions 12. Maintain a quiet environment 13. State reasons for emotional changes . Possible medical complications l. Thyroid storm (thyroid crisis): tachycardia, delirium, agitation, coma, death, hyperpyrexia, dehydration, arrhythmias, diarrhea 2: Cardiac arrhythmias 3. Diabetes mellitus Possible surgical interventions: subtotal thyroidectomy . Hypothyroidism (myxedema) A. Definition -underactive state of thyroid gland, resulting in absence or decreased secretion of thyroid hormone B. Possible etiology 1. Autoimmune disease: 2. Thyroidectomy 3. Overuse of anti thyroid drugs 4. Malfunction of pituitary gland 5. Use of radioactive iodine . Possible clinical manifestations 1. Fatigue /2. Weight gain 3. Dry, flaky skin 4. /,5. Edema Cold intolerance 6. Coarse hair -7. Alopecia 8. Thick tongue, swollen lips 9. Mental sluggishness 10. Menstrual disorders 11. Constipation ~~ 12. Hypersensitivity to narcotics, barbiturates, and;iesthctics 13. Anorexia 14. Decreased diaphoresis 15. Hypothermia Possible diagnostic test findings /l. Blood chemistry: decreased T3 T,4, PBI, sodium; increased TSH, Cholesterol 2. BMK: decreased . 3. ECG: sinus bradvcardia Nursing interventions and responsibilities l . Maintain the patient s diet 2. Force fluids 3. Assess fluid balance 4. Monitor and record VS, UO, I/O, and laboratory studies 5. Administer medications, as prescribed 6. Encourage the patient to express feelings of depression 7. Encourage physical activity and mental stimulation 8. Provide a warm environment 9. , Avoid sedation: administer one-half to one-third the normal dose of sedatives or narcotics 10. Check for constipation, infection, and edema 11. Prevent skin breakdown 12. Provide frequent rest periods Teaching goals (instructions to the patient and family) 1. Keep follow-up appointments 2. Exercise regularly 3. Maintain a normal weight 4. Know the action, side effects, and scheduling of medications 5. Recognize the signs and symptoms of myxedema coma 6. Alternate rest periods with activity 7. Monitor self for constipation 8. Follow dietary recommendations and restrictions 9. Use additional protection in cold weather 10. Limit activity in cold weather 11. Avoid using sedatives 12. Complete skin care daily Possible medical complications 1. Coronary artery disease 2. Congestive heart failure (CHF) 3. Acute organic psychosis 4. Angina -5. Myocardial infarction (MI) 6. Myxedema coma: hypoventilation, hypothermia, respiratory acidosis, syncope, bradycardia, hypotension, seizures, and cerebral hypoxia 1


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