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28 Cards in this Set

  • Front
  • Back
adrenal gland


located on top of kidney


adrenal cortex out/ adrenal medulla inner

Salt

Salt=Na= aldosterone




Sugar

= cortisol
Sex

=sex hormones (andostrienone)

pheochromocytoma

tumor of adrenal medulla; increases catecholamine relase leading to severe sporadic HTN increased HR, adaphoresis CP, palp etc

aldosterone

mineralcorticoid; stimulates na+ absorption (takes sodium back into body)

cortisol


Glucocostiricoid- important regulator of blood glucose; many other diverse functions


Stress horomes: increases blood glucose makes new glucose breaks down fat + protein


Sex hormone

Precursors are released that can be converted into testosterone or estrogen int he peripheral tissues

disorders 2 major

addisons and cushings
underactive adrenal gland= Addisions s/s


hypotension, hyperpigmentation muscle weakness anorexia hypoglycemia hyper kalemic acidosis




Insufficient aldosterone = peeng out too much na and water retaining k and h




Insufficient cortisol production= cant respond to catecholamines hypoglycemic insufficient metabolic substances for metabolism

overactive adrenal gland=cushing


buffalo hump moon face, muscle wasting, difficult to stand from sitting position




caused by prolonged steroid use


thyroid

secretes thyroid hormones essential for metabolism secretes calcitionin tones down calcium in blood by putting ca into bone therefore building bone

parathyroid


secretes parathyroid hormone which balances calcitonin




PTH increases Ca in blood that is essential for life


calcitonin

ca decerase in blood= building bone= osteoblast

PTH

ca increase in blood= breaks bone down= osteclast

hypothyroidism


cold intolerance


weight gain


lethargy


weakness


dry hair


goiter


enlarged tongue


coase voice

hyperthyroidism


palpitations


cp


weight loss


heat intolerance


big eyes


a fib


resting tremors

myxedema


hypothermia


ams coma


hypotension


decareased respiratory drive


TX- rewarm iv bolus ventilator support


thyroid storm


ams


cp


tachyarrhythmia MAT are common


HTN


shock


gever


tremor


TX- o2 EKG cooling fluids

Addison disease


is adrenocortical insufficiency due to the destruction of the adrenal cortex




it affects glucocorticoid and mineralocorticoid function

hyperpigmentation

caused by the stimulatnt effect of excess adrenocorticotrophic hormone ACTH
adrenal crisis

should administer hydrocortisone and fluid bolus

adrenal medullae secretes

epi and norepe sympathetic stimulation results in secretion

glucocorticoids are nonspecific cardact stimulatnts that active the relase of

casoactive substances corticosteroids stress results in hypotesion shock and death
myxedema coma

rare life threatiening condition occurs late in the profession of hypothyroidism

graves disease

diffuse toxic goiter the most common form of over hyperthyroidism

thyroid storm

is a rare fatal complication of hyperthyroidis occurs in pts with untreated thyrotoxicosis precipitating evens such as surgery infection trauma

DKA occurs in pts with type 1 diabetes but is not uncommon in pts w type 2

s/s alcohole breath odor