Review the levels of your four main

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) Hyperthyroidism Hypothyroidism Thyroidectomy Addison’s disease Cushing’s disease Hypoglycemia Hyperglycemia Diabetic Ketoacidosis (DKA) Hyperosmolar Hyperglycemic Syndrome (HHS) Review principles related to death and dying: Legal aspects (advance directives versus power of attorney) Postmortem care Understanding the dying process (signs and symptoms of impending death) Communication during end-of-life care Thyroid Know what to do post op for patients with complete or partial thyroidectomy Know what to monitor for with post op thyroidectomy patients Know the complications of calcium with thyroidectomy surgery Know the signs and symptoms of hypothyroidism Know how TSH works with hypothyroidism and what happens to TSH after treatment begins Know how to treat hypothyroidism Know signs and symptoms of hyperthyroidism Know how to treat hyperthyroidism Parathyroid Know the hormones that control calcium levels in the blood Know which hormone increases calcium Know what hormone decreases calcium Know treatment options for both hyper and hypoparathyroidism Know diagnostic tests for both diseases Know signs and symptoms of both diseases Adrenal Know signs and symptoms of Addison’s disease Know diet recommendations for Addison’s disease Know signs and symptoms of Cushing’s disease Know diet recommendations for Cushing’s disease Know the main hormones behind Addison’s and Cushing’s disease Know what findings are dangerous for patients with Cushing’s disease and Addison’s disease Be able to teach a patient how to monitor their Addison’s or Cushing’s disease at home Diabetes Know the differences between type 1 and type 2 diabetes Know the role of insulin and glucagon Know the risk factors for developing type 2 diabetes Know what and how to interpret A1c levels and what the goals are for managing diabetes Understand and know what teaching you must do with a newly diagnosed diabetes patient Know signs and symptoms of hypoglycemia and hyperglycemia Know what to do if someone is hypoglycemic Know how much carbs to give if hypoglycemic Know the precautions and rules around giving glucagon Know the precautions and rules around giving D10% (amp versus IV bag) Know how to mix NPH and Regular insulin Know when a patient should eat after taking insulin Know how to recognize hyperglycemia Know the signs and symptoms of DKA Know how to treat DKA Know the signs and symptoms of HHS Know how to treat HHS Know risk factors for DKA and HHS Hypothalamus Know what ADH does in the body Know 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 SIADH Resources 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 SCIENCE

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