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Endocrine System

QuestionAnswer
What is the master gland? Pituitary Gland
What are the hormones of the Anterior Pituitary gland? GH-growth hormone, TSH-Thyroid stimulating hormone, ACTH- Adrenocorticotropic hormone
What are the posterior Pituitary hormomones? ADH-Antidiuretic hormone
What is an underproduction of growth hormone called? And what is the treatment for this? Dwarfism, treatment-lifelong hormone replacement
What is hypersecretion of growth hormone in adulthood called? acromegaly
For a transphenoid hypophysectomy (removal of the pituitary gland) What should the nurse monitor for post Op? Post op halo-blood seperates from fluid- test for glucose in CSF (more accurate than halo)
What are the signs and symptoms of acromegaly? hyperglycemia, CHF-enlarged heart and liver, visual disturbances, HTN, and sleep apnea
What is Diabetes Insipidus? ADH insufficiency= excess fluid excretion
Treatment for Hypernatremia (not enough ADH) desmopressin-vasopressin (intranasal)
SIADH is a continous release of ADH so what happens to water and sodium levels? Water is retained and sodium levels decrease because diluted
What is the treatment for SIADH (too much ADH hyponatremia) fluid restriction, diuretics, hypertonic saline solution, and TQ (Treat the underlying cause)
Synthroid has an interaction with insulin. What does it do? It will increase glucose and insulin need.
What is hypothyroidism and what is the treatment? TQ-lifelong hormone replacement, hashimotos disease T3 and T4 decreased, TSH increased, decreased metabolism.
What results from untreated hypothyroid coma, resp. failure, hypotention, hypothermia, shock, and death... what are these symptoms and signs of? Myxedema Coma
With Radioactive iodine no radiation precautions
Where is the incision for a Thyroidectomy and what should be kept at the bedside? incision in anterior neck AIRWAY! Keep emergency trach equipment at bedside.
What is Graves Disease? Hyperthyroidism- an autoimmune disorder - antibodies attach to the TSH causing overproduction of thyroid hormone.
What is a Goiter? Enlarged thyroid gland and treatment is radioactive iodine- no radiation percations for radioactive iodine (TQ)
What is uncontrolled hyperthyroidism that manifests quickly? Thyroid storm
What are the signs and symptoms of a thyroid storm? Fever, tachy, HTN, triggered by trauma, infection, DKA, pregnancy
Increased Parathyroid hormone causes reabsorption of calcium (kidney stones) Hyperparathyroidism=increased bone loss because of loss of calcium
Hypercalcemia and hyperparathyroidism cause what? brittle bones (osteoporosis)
What happens when a person has hypoparathyroidism (low PTH)? tetany due to decreased serum calcium (muscle cramping, spasms, numbness)
What is Trousseaus sign? (hypoparathyroidism) spasm of arm
What is chvosteks sign?(hypoparathyroidism) Twitch of face
What are signs of hypoparathyroidism spasm of arm (trousseaus sign), twitch of face (chvosteks sign) and serum calcium decreased
What is a diet for hypoparathyroidism? high calcium/ low phosphate. (avoid milk, yogurt, and processed cheese because high in phosphate)
What does the adrenal medulla secrete (TQ)? catecholamines (epinephrine and norepinephrine)
What are the 5 H's of cancer of the medulla? (TQ) 5 H's Hypertension, headache, hyperhidrosis (excessive sweating), hypermetabolism, hyperglycemia
What is addision disease and what are the signs and symptoms of this disease? (TQ) Adrenocortical insufficiency, hypovolimia, hypotension, increased skin pigmentation, glucose decreased, sodium decreased, potassium decreased, adrenocortical hormone decreased. Treatment increase sodium intake with meals
What is cushings syndrome? adrenal overproduction or long term steroid use. Hypertension due to NA+ and H20 retention
What are the signs and symptoms of cushings syndrome? round, fat abdomen, moon face, thin extremities, increased glucose, increased sodium, decreasesd potassium, easy bruising.,
Created by: 4LSUFootball
 

 



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