Review the levels of your four main electrolytes (sodium, potassium, calcium, magnesium), BUN, Creatinine, GFR, Urine specific gravity, and hematocrit.I would strongly recommend knowing the ALTS for the following diseases: (Risk Factors – aka what causes the disease, signs/symptoms and lab results (what the patient looks like), and what you are going to do (nursing cares and interventions)Know the risk factors, signs and symptoms, lab values, and interventions for the following:Symptoms of Inappropriate ADH (SIADH)Diabetes Insipidus (DI)HyperthyroidismHypothyroidismThyroidectomyAddison’s diseaseCushing’s diseaseHypoglycemiaHyperglycemiaDiabetic Ketoacidosis (DKA)Hyperosmolar Hyperglycemic Syndrome (HHS)Review principles related to death and dying:Legal aspects (advance directives versus power of attorney)Postmortem careUnderstanding the dying process (signs and symptoms of impending death)Communication during end-of-life careThyroidKnow what to do post op for patients with complete or partial thyroidectomyKnow what to monitor for with post op thyroidectomy patientsKnow the complications of calcium with thyroidectomy surgeryKnow the signs and symptoms of hypothyroidismKnow how TSH works with hypothyroidism and what happens to TSH after treatment beginsKnow how to treat hypothyroidismKnow signs and symptoms of hyperthyroidismKnow how to treat hyperthyroidismParathyroidKnow the hormones that control calcium levels in the bloodKnow which hormone increases calciumKnow what hormone decreases calciumKnow treatment options for both hyper and hypoparathyroidismKnow diagnostic tests for both diseasesKnow signs and symptoms of both diseasesAdrenalKnow signs and symptoms of Addison’s diseaseKnow diet recommendations for Addison’s diseaseKnow signs and symptoms of Cushing’s diseaseKnow diet recommendations for Cushing’s diseaseKnow the main hormones behind Addison’s and Cushing’s diseaseKnow what findings are dangerous for patients with Cushing’s disease and Addison’s diseaseBe able to teach a patient how to monitor their Addison’s or Cushing’s disease at homeDiabetesKnow the differences between type 1 and type 2 diabetesKnow the role of insulin and glucagonKnow the risk factors for developing type 2 diabetesKnow what and how to interpret A1c levels and what the goals are for managing diabetesUnderstand and know what teaching you must do with a newly diagnosed diabetes patientKnow signs and symptoms of hypoglycemia and hyperglycemiaKnow what to do if someone is hypoglycemicKnow how much carbs to give if hypoglycemicKnow the precautions and rules around giving glucagonKnow the precautions and rules around giving D10% (amp versus IV bag)Know how to mix NPH and Regular insulinKnow when a patient should eat after taking insulinKnow how to recognize hyperglycemiaKnow the signs and symptoms of DKAKnow how to treat DKAKnow the signs and symptoms of HHSKnow how to treat HHSKnow risk factors for DKA and HHSHypothalamusKnow what ADH does in the bodyKnow how SIADH affects urine output, urine osmolality, serum osmolality and sodium levels.Know how DI affects urine output, urine osmolality, serum osmolality and sodium levels.Know the signs and symptoms of DI and SIADHResources are Lippincott CoursePoint Enhanced for Brunner & Suddarth’s Textbook of Medical-Surgical Nursing Chapter 9, 13 & 45-46, & ATI RN Adult Medical Surgical Nursing Edition 11.0 Chapter 4, 76-83, 93
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