Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
44 Cards in this Set
- Front
- Back
|
Hormones of the anterior pituitary
|
FSH
LH ACTH TSH GH |
|
|
Hormones of the posterior pituitary
|
ADH (vasopressin)
Oxytocin |
|
|
underproduction of GH
|
dwarfisim
|
|
|
overproduction of GH
|
gigantism
|
|
|
overproduction of GH in adults after growth plates have sealed
|
acromegaly
|
|
|
Postop nursing for acromegaly surgery
|
Avoid blowing nose
HOB 30 degrees test nasal drainage for glucose (>30mg/dL) monitor for DI |
|
|
Diabetes Insipidus properties
|
Lack of ADH
urine spec gravity 1.001-1.005 large vol of dilute urine |
|
|
Diabetes Insipidus treatment
|
replace fluids w/ NS
ADH (vasopressin) desmopressin (nasal form) if pituitary gland removed, ADH, cortisol, thyroid hormone replacement for life |
|
|
SIADH properties
|
overproduction of ADH
fluid retention Na+ deficiency (hyponatremia) low serum Osm: <280 |
|
|
SIADH treatment
|
fluid restriction - 1st line treatment
diuretics |
|
|
function of thyroid gland
|
production of T3, T4, calcitonin
|
|
|
production of T3 & T4 is controlled by this gland
|
anterior pituitary
|
|
|
hormone levels of thyrotoxicosis
|
high T3, T4
low TSH |
|
|
S/S of hypothyroidism
|
slowing of bodily functions
low temp weight gain expressionless face bradycardia fatigue hair loss, brittle nails amenorrhea |
|
|
S/S of myxedema coma
|
critical low levels of thyroid hormone
s/s of hypothermia decreased respiratory drive CO2 retention unconscious state |
|
|
treatment for myxedema coma
|
Synthroid based on TSH level
caution w/ DM (may increase BG) |
|
|
precautions for Synthroid administration
|
effects increased w/ dilantin, TCA's, coumadin
caution w/ diabetics - may increase blood glucose |
|
|
Hyperthyroidism
(Grave's Disease) |
excessive thyroid hormone
|
|
|
S/S Grave's Disease
(hyperthyroidism) |
nervousness, hyperexcitability, palpitations, rapid pulse, diaphoresis, bulging eyes
|
|
|
Assessment hallmarks of Grave's Disease
|
Enlarged thyroid gland
Elevated T4 Elevated I 123 uptake by thyroid |
|
|
Treatment for Grave's Disease
|
radioactive iodine therapy
lifelong replacement of thyroid hormone |
|
|
Medications indicated for Grave's Disease
(hyperthyroidism) |
Propucil, PTU
Tapazole (blocks production of T3, T4) |
|
|
Indications of thyroid storm
|
fever > 101.3
extreme tachycardia exaggerated symptoms of hyperthyroidism usually centered around one system |
|
|
thyroid storm treatment
|
manage temp
manage tachycardia O2 w/ humidification D5W PTU to block thyroid hormone |
|
|
Goiters
|
abnormal swelling of neck seen in iodine deficient diets
|
|
|
thyroid cancer post op nursing
|
high calorie, high protein diet
bleeding can occur on side and back of neck trach tray at bedside for emergency Ca+Gluconate at bedside |
|
|
action of PTH
|
stimulates bone reabsorption
increases Ca+ level |
|
|
effect of decreased serum Ca+
|
tetany; s/s: tingling of fingertips, lips, feet
|
|
|
Chovostek's Sign
|
spasm of facial muscles
sign of tentany (low Ca+) |
|
|
Trousseau's sign
|
carpopedal spasm from BP cuff; arm flexes forward
sign of early tetany |
|
|
what the pituitary secretes to stimulate the adrenal cortex
|
ACTH
|
|
|
Secretions of Adrenal Medulla
|
epinephrine, norepinephrine
"fight or flight" hormones (catecholamines) |
|
|
Secretions of Adrenal Cortex
|
Glucocorticoids
Mineralcorticoids Androgens |
|
|
SE's of glucocorticoids
|
increased blood glucose
osteoporosis poor wound healing must be tapered - do not abruptly stop |
|
|
Pheochromocytoma
|
benign tumor causing sympathetic NS oversensitivity
S/S's: 5 H's |
|
|
Five H's of Pheochromocytoma
|
Hypertension
Headache Hyperhidrosis Hypermetabolism Hyperglycemia |
|
|
Med's for Pheochromocytoma
|
nipride drip for BP
|
|
|
Addison's Disease
|
insufficient production of glucocorticoids
caused by steroid use |
|
|
S/S of Addison's Disease
|
dark pigmentation of skin, knuckles, knees, elbows, hypotension, weakness in muscles, anorexia, fatigue
Hypoglycemia, hyponatremia, hyperkalemia |
|
|
Addisonian Crisis
|
extreme form of hypocorticoidism
s/s: circulatory collapse, pallor, apprehension rapid, weak pulse rapid respirations decreased BP |
|
|
S/S of Addisonian Crisis
|
cyanosis, rapid weak pulse
rapid respirations decreased BP |
|
|
Treatment of Addisonian Crisis
|
hydrocortisone (Solu Cortef)
D5W recumbent position w/ legs elevated may require dopamine |
|
|
Cushing's Syndrome - causes
|
overactive adrenal function
steroid use |
|
|
S/S of Cushing's Syndrome
(overactive adrenal function) |
weight gain in trunk, face, cervical area
fluid retention buffalo hump virilization/gynecomastia Moon Face |
