NURS 6895 Endocrine (Exam 2)

Which of the following systemic changes does diabetes cause?

Insulin therapy is 1 of the 6 predicators for a major adverse cardiac event (MACE) on the RCRI scale

Diabetic patients should take their prescribed sulfonyurea on the morning of surgery

When should an diabetic patient hold their prescribed metformin preoperatively?

Preoperatively, diabetic patients should take their long acting insulin and hold their short acting insulin

Which of the following is important consideration for patients with hyperthyroidism who report dysphagia and dyspnea when lying flat?

Your patient has Hashimoto thyroiditis. During your preop assessment, you notice they are bradycardic. What should you do?

If your preoperative patient took glucocorticoids within the last _________, you should complete a thorough assessment (what steroid they took, for how long, if they tapered, etc) due to concern for development of adrenal insufficiency

20 mg prednisone per day is considered high dose glucocorticoids

Your patient has adrenal insufficiency and develops severe hypotension immediately after induction. What should you do?

What are symptoms of adrenal insufficiency?

In a patient with acromegaly, what assessment finding would indicate compression of the left recurrent laryngeal nerve?

If a patient has a carcinoid tumor and develops carcinoid syndrome, what are their symptoms and where does the tumor drain?

What are the three symptoms of a pheochromocytoma?

Which of the following is an appropriate consideration for a patient with a pheochromocytoma?

Your patient is confused, lethargic, and is having seizures. They are euvolemic and do not appear fluid overloaded, but their urine is concentrated. What do you suspect?

At what rate should you correct hyponatremia?

Hypoparathyroidism is the most common cause of hypercalcemia

Intraoperatively, your patient's labs come back showing a calcium of 3.5 mg/dL. Which is the most important consideration?

Your patient has a BMI of 37. What is their BMI classification?

What is the single biggest indicator of a difficult airway?

For which condition would you want your patient on an octreotide drip going into surgery?

Your patient has a(n) __________ diagnosis. Prior to surgery, you must ensure they have a recent echocardiogram (within one year) to evaluate their ejection fraction due to risk of left ventricular hypertrophy.