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CH 50 ENDOCRINE
| Question | Answer |
|---|---|
| Oversecretion of growth hormone BEFORE puberty | Gigantism |
| insufficient secretion of growth hormones | dwarfism |
| over secretion of GH during adulthood | acromegaly |
| What is often the cause of acromegaly | tumors |
| S/S of acromegaly | bulb nose, huge jaw, enlarged organs, partial blindness, erectile dysfunction, painful joins, osteoporosis |
| What special test may be done for acromegaly | GH level R/T blood glucose |
| What is the surgery used for hyperpituitaryism | hypophyscetomy |
| nursing considering post op hypophysectomy | neuro assessments, look for S/S of ICP, nasal discharge possibly CSF, avoid drinking from a straw, sneezing, coughing, bending over |
| Simmonds Disease is what | anterior pituitary stops producing hormones |
| S/S of Simmonds disease | hypothyroid, |
| medical management for Simmonds disease | hormone replacement |
| diabetes insipidus | not enough ADH |
| S/S of diabetes insipidus | polyuria, weight loss, weakness, excessive thirst, dehydration, hypernatremia |
| DO NOT WITHHOLD what with diabetes Insupidus | fluids |
| fluid deprivation test | withhold fluids for several hours thill measuring urine output, next they will give desmopressin , if urine becomes more concentrated then diagnosis is made |
| when given vasopressin, use caution it what patients | cornonay artery disease |
| What diuretic is given during diabetes insipidus | thiazide |
| nursing management for diabetes | monitor I&O every hour, teach to quench thirst, avoid hot temps and strenuous activity |
| What diet should pt its diabetes be on | low sodium, low protein |
| PTs with diabetes should use what | identification band |
| Its with diabetes urinate how much a day | 20 Liters |
| Syndrome of inappropriate Antidiuretic Hormone Secretion is what | holding on to too much fluid |
| what can cause SIADH | CNS disorders, head trauma, meds such as vasopressin, general anesthesia |
| S/S of SIADH | water retention, headaches, muscle cramps, anorexia, confusion, weakness, tachycardia, hyperactive bowels, seizures, coma, death, HYPOnatremia |
| diagnostic finding in SIADH | urine sodium level increased, serum sodium level decreased |
| What diuretics are used in SIADH | furoemide, mannitol |
| After the venous lab draw for SIADH how long for the lab to be taken to the lab | 10 minutes |
| how long must they fast before the lab | 12 hours |
| #1 priority in SIADH | fluid retention |
| Primary cause of Addisons Disease | gradual destruction of the adrenal cortex |
| Secondary cause of Addisons Disease | surgical removal, hemorrhagic infarct, hypopituitarism, meds such as steroid withdrawl |
| Addisons disease is what> | Not enough |
| What is the cause of destruction | idiopathic, autoimmune |
| S/S of Addison's disease | weakness, fatigue, bronzed skin, dehydration, decreased cardiac output, hypoglycemia |
| lab test findings for addisons diease | Decreased sodium, cortisol, blood glucose. Increased BUN and potassium |
| medical management for addisons disease | steroid replacement such as fludocortisone |
| you should call your dr to increase med under what circumstances | stress, illness |
| What can cause an adrenal crisis? | abnormal stress, trauma, discontinuation of meds |
| S/S of adrenal crisis | anorexia, vomiting, abdominal pain, hypotension, fever |
| medical management for adrenal crisis | steroid administration |
| aldosterone is... | salty |
| cortisol is..... | sweet |
| What is cushings disease | too much sweet, salty sex such as cortisol, ACTH, or a tumor |
| S/S of cushings disease | buffalo hump, moon face, kyphosis, masculine, wt gain, increase glucose, increase appetite, increase infection, osteoporosis s |
| Diet for cushings disease | low sodium, low carbs, high potassium high calcium |
| what is a pheochromocytoma? | benign tumor of the adrenal medulla |
| what does the benign medulla secrete? | excessive catecholamine |
| S/S of pheochromocytoma | severe elevated BP, tremors, hyperglycemia, polyuria vertigo, H/A, N/V, tachycardia |
| What should be closely monitored with pheochromocytoma? | BP |
| Do not palpate what with pheochromocytoma? | abdomen |
| how long does it take for radiation to destroy thyroid tissue? | 6-8 weeks |
| avoid close contact with kids for how long after radiation of the thyroid | 5-7 days |
| What are laxatives used for after radiation | to help rid the body |
| pt should be asked to talk every.... hours after surgery | 2 hours |
| what is a sign of laryngeal damage? | hoarsness |
| What is the trusseua sign | hand tremors |
Created by:
hcoll