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Endocrine System

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