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22 Cards in this Set
- Front
- Back
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Which gland is considered the "Master Gland?"
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Pituitary
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Which glands are not under the control of the pituitary?
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*Pancreas
*Parathyroids *Thymus *Adrenal Medulla |
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What controls the parathyroids?
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Calcium levels
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What is secreted by the posterior pituitary?
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ADH (vasopressin)
Oxytocin |
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Why might an increase in size of the pituitary cause vision changes?
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Because the optic chiasm lies just above the pituitary; change in size would put pressure on the nerve pathways
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What hormones does the anterior pituitary secrete?
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*Growth hormone
*ATCH *Thyroid stimulating hormone *Leutinizing hormone *Folicle stimulating hormone *Prolactin |
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What are the symptoms of diabetes insipidus?
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*increased serum osmolarity
*decreased urine osmolarity *increased body fluid loss=rapid shock *Life-threatening |
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What are some diagnostic measures for diabetes insipidus?
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*fluids held for 4-18 hours
*urinary output monitored |
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What would indicate a need to discontinue a diagnostic test for DI?
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* > 3% weight loss
* significant drop in BP or increase in pulse |
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What are some nursing considerations s/p hypophysectomy (pit. tumor)?
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*Keep HOB 30 degrees
*No coughing, sneezing, bending, straining |
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What should you monitor for a patient s/p hypophysectomy (pit. tumor)?
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*CSF leakage: nasal drip, halo test
*S/s infection: increased temp, nuchal rigidity, headache *S/s SIADH or DI *Assess pain (Tylenol/codeine as ordered) |
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What should be considered in patient education s/p hypophysectomy?
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*no coughing/ sneezing/ bending/ straining for 2 months
*Possible hormone replacement for life *Counseling re: lifestyle changes (low fertility in females, permanent physical changes, stress management) |
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What are the s/s of pheochromocytoma?
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*HTN
*Pounding headache *tachycardia *increased blood sugar *glycosuria *palpitations *nausea/vomiting *vertigo *dyspnea *blurred vision *tinnitus *apprehension *excess perspiration |
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What is the regular function of aldosterone?
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Maintains water balance (renin-angiotensin)
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What is the function of cortisol?
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Controls the body's response to stress
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What are the signs/symptoms of DKA?
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*Change in LOC
*Dehydration *Kussmaul respirations *Abd. pain *nausea/vomiting |
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What is significant of labs with DKA?
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*serum glucose >300
*urine and serum are positive for ketones *serum K is increased (with dehydration/acidosis) *increased BUN/Creatinine |
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In DKA, what is the rate of the initial insulin infusion?
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*0.1 unit/kg
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When can sub-Q insulin be given to a DKA patient?
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*When pt. is tolerating oral fluids
*When ketosis has stopped |
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What is the major cause of death in treatment of dka?
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hypokalemia
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How soon must fluid status be corrected in a burn patient?
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within 1st 6 hours, or death will result
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What is the hallmark sign of carbon monoxide poisoning?
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Cherry-red skin color
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