What medication is given as mineralocorticoid replacement in adrenal insufficiency?
Fludrocortisone (replace aldosterone)
What are common side effects of cholinesterase inhibitors?
gastrointestinal upset, diarrhea, nausea, and excessive salivation and sweating
MS can be cured with disease modifying therapies. True or False
False
What criteria does a patient need to meet to be considered for a thymectomy for MG?
<65 and dx in last 3 years
Fibromyalgia is often treated with long-term opioids. True or False
False. Opioids are not recommended for long tern use.
What is a Tensilon test?
give Tensilon IV; 30 minutes after injection facial muscle weakness & ptosis should resolve for about 5 minutes; Immediate improvement = MG
Name at least 5 symptoms of Addison's Disease?
Hyperpigmentation, weakness, weight loss, anorexia, GI symptoms, low BP, Low NA, High K, Low glucose
Patients with MS are at risk for injury due to poor coordination. They should be instructed to avoid activity. True or False
False- work and exercise to a point just short of fatigue. AVOID strenuous exercise
What is the most severe fracture complication?
Hypovolemic shock (hemorrhage)
What labs are done to diagnosis Cushing disease?
High serum/urine cortisol; Dex suppression test with elevated cortisol levels
What is the peak time for morphine IV?
10 min
What medication is used to treat Diabetes Insipidus?
DDAVP (vasopressin)
What life threatening complications can be associated with Guillain-Barre Syndrome?
Respiratory Failure, Cardiac Dysrhythmias, VTE
What medication is given to treat Cushing's disease?
Ketoconazole
Hydrocortisone should be taken with food at 9am. True or False
True (space other doses evenly throughout day)
What hormones are released by the adrenal cortex?
glucocorticoids, mineralocorticoids, androgens
Patients with Addison's Disease should use a salt substitute? True or False
False
What labs are used for the diagnosis of Guillain-Barre syndrome?
None. Lumbar puncture
Compartment syndrome involves part of a body area losing perfusion. True or False?
False: Elevation of pressure within an anatomic compartment that is above normal perfusion pressure
What are common eye symptoms associated with myasthenia gravis?
Diplopia (double vision) and ptosis (drooping eyelids)
How can a patient minimize spasticity and contractures associated with MS?
daily stretching
What is an ICE test?
Ice pack held over the eyes for 1 minute Ptosis should temporarily resolve in a patient with myasthenia gravis
SiADH consists of high urine output and low sodium. True or False
False (low urine output and low sodium)
What is a fat emboli?
When the fracture occurs, fat globules may diffuse from the marrow into the vascular system; these may occlude blood vessels in the lungs, brain, kidneys, organ
How is acromegaly diagnosed?
Elevated IGF1; Elevated GH serum levels; MRI to assess pituitary
Adrenal excess is also known as ______.
Cushing Syndrome
Patients with Cushing Disease have a risk for osteoporosis. What diet would you recommend?
High Vit D, Calcium, Protein
High ADH causes which disease?
SIADH
Excessive growth hormone is known as ____.
Acromegaly (Gigantism in children)
How is myasthenia gravis diagnosed?
Acetylcholinesterase Inhibitor Test (Tensilon Test); ICE Test; Enlarged Thymus
What hormones are released by the adrenal medulla?