PHAR 6165

Health Assessment Blueprint

Session 5 – Endo 1
Dr. Fricker

Resources Available at:

Through the LWW Health Library on the Belmont University Drug Information, Books Page (https://belmont.libguides.com/pharmacy/books)

Skrabal MZ, Knezevich EL. Chapter 20: Endocrine System. https://bunchproxy.idm.oclc.org/login?url=https://premiumpharmacy.lwwhealthlibrary.com/b

In: Jones RM. Patient Assessment in Pharmacy Practice. ook.aspx?bookid=1590
3rd ed. Philadelphia, PA: Wolters Kluwer Health; 2016.
Use Ctrl +F or chapter contents on the left side of the
page to help you find appropriate areas to read
 Carbohydrate Metabolism
 Thyroid Function
 Diabetes Mellitus
 Thyroid Disorders
 System Assessment: Objective and Subjective
Information
 Laboratory & Diagnostic tests
American Diabetes Association Professional Practice https://diabetesjournals.org/care/article/47/Supplement_1/S111/153951/6-Glycemic-Goals-
Committee; 6. Glycemic Goals and Hypoglycemia: and-Hypoglycemia-Standards-of
Standards of Care in Diabetes—2024. Diabetes Care 1
January 2024; 47 (Supplement_1): S111–S125.
https://doi.org/10.2337/dc24-S006
 Assessment of Glycemic Status: Glycemic
Assessment
 Assessment of Glycemic Control: Glycemic
Assessment by Continuous Glucose Monitoring
 Glycemic Goals: Recommendations
 Hypoglycemia Assessment, Prevention, and
Treatment: Recommendations
 Figure 6.1 and 6.2
 Table 6.2, 6.3 and 6.4
 OF NOTE: Wherever the text and guidelines
disagree- go with the guidelines (2024)
American Thyroid Association. Thyroid Function Tests. https://www.thyroid.org/thyroid-function-tests/
PHAR 6165
Health Assessment Blueprint
Session 5 – Endo 1
Dr. Fricker

Preparation For Lab Available at:

Type of Insulin Document
American Association of Diabetes educators. Learning How
to Inject Insulin
United States Food and Drug Administration. Blood
Glucose Monitoring Devices.
Jones: System Assessment: Diabetic Foot Exam
Canvas
https://www.diabeteseducator.org/docs/default-source/legacy-
docs/_resources/pdf/general/Insulin_Injection_How_To_AADE.pdf
https://www.fda.gov/medical-devices/vitro-diagnostics/blood-glucose-monitoring-devices.
 Feel free to look up a video from any monitoring device manufacturer
Jones Ch. 20:
System Assessment
PHAR 6165
Health Assessment Blueprint
Session 5 – Endo 1
Dr. Fricker
Learning Objectives
Diabetes Mellitus
Review anatomy and physiology
pertaining to endocrine system (1)
Describe the pathology of diabetes
mellitus (1)
Describe the risk factors for Type 2
diabetes (1)
Describe the presentation of diabetes
mellitus (1)
Describe acute and chronic
complications of diabetes mellitus (1)
Describe the role of various laboratory
and diagnostic tests for diabetes (1)
Describe the role and use of
Continuous Glucose Monitoring (1)
Breaking Down the Learning Objective Where to Find
How are carbohydrates metabolized? Jones Ch. 20:
What is the role of insulin? Carbohydrate
How is thyroid hormone regulated? Metabolism
What are the functions of thyroid hormones?
Thyroid Function
What are the differences between the pathogenesis of type 1 (T1DM) and type 2 Jones Ch. 20:
diabetes mellitus (T2DM)? Diabetes Mellitus
What are the risk factors for type 2 diabetes? Jones Ch. 20:
What is metabolic syndrome? Diabetes Mellitus
*Will not be tested on medications that cause hyperglycemia*
What are the signs and symptoms of hyperglycemia? Jones Ch. 20:
What are the differences in presentation between type 1 and type 2 diabetes? (Which Diabetes Mellitus
symptoms occur more often in type 2, how does type 1 typically present, speed of Box 20.2
symptom presentation, etc.)
System Assessment:
Subjective Information
Which organs are damaged by long term hyperglycemia? Jones Ch. 20:
What are the long-term complications of diabetes? Diabetes Mellitus
What are the signs and symptoms of hypoglycemia?
What are the 4 ways we can diagnose diabetes? Jones Ch. 20:
What is a hemoglobin A1c and what does it tell us? Laboratory and
What are all the treatment goals for patients with diabetes (A1c, FBG, PPBG, TIR)? Diagnostic Tests
What is albuminuria, what is the diagnostic criteria, and what does its presence tell
us? ADA Diabetes Guidelines
When would you check for urine ketones in a patient with T1DM?
Define and understand the following acronyms: CGM, AGP, TBR, TAR, TIR ADA Diabetes Guidelines:
Familiarize yourself with the AGP figure Glucose assessment by
PHAR 6165
Health Assessment Blueprint
Session 5 – Endo 1
Dr. Fricker
continuous glucose
monitoring
Figure 6.1 and Table 6.2
Thyroid

Describe the pathology of thyroid What are the causes of hyperthyroid? Jones Ch. 20:
disorders (1) What are the causes of hypothyroid? Thyroid Disorders
What is the difference between primary and secondary hypothyroidism?

Describe the presentation of thyroid What are the signs and symptoms of hyperthyroid? Jones Ch. 20:
diseases (1) What are the signs and symptoms of hypothyroid? Thyroid Disorders
What is thyroid storm? Box 20.3
What is myxedema Coma? Box 20.4
System Assessment:
Subjective Information
Describe the role of various diagnostic What are the thyroid function tests and when are they used? Jones Ch. 20:
and laboratory tests for thyroid What are thyroid antibody tests and when are they used? Laboratory and
disorders (1) What test results are diagnostic for hypo/hyperthyroid? Diagnostic Tests

American Thyroid
Association Website