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55 Cards in this Set
- Front
- Back
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what role does the kidneys and liver play with hormones
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liver inactivate them and kidneys excrete them
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what time of day do melatonin secretions start/stop
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9pm/7am
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what gland secretes releasing hormones
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hypothalamus
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what portion of the pit. gland secretes stimulating hormones, growth hormone and prolactin
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anterior pit
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what hormone are secreted by the posterior pit
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ASH & oxytocin
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what is the major function of the posterior pit
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contol plasma osmalality
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measurement of hormone using radioisotope-labeled antigen
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radioimmunioassay
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what does stimulation tests test for
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if endocrine gland responds to an artificial administration of a stimulating hormone that the problem may be the hypothalmus or pit gland
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most common ant pit hypofunction
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hypo growth hormone & hypo gonadotropins (FSH, LH)
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Life threatening hypo ant pit problem
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hypo ACTH & TSH
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fasting hyoglycemia, weakness, sex dysfunction, visual disturbances
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s/s of hypo anter. pit
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sheehan's syndrome
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post partum pit. necrosis
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life long tx needed for hypo anter. pit: T or F
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True
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disease where bones increase in thickness and width
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acromegaly (hyper GH secretion)
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Diabetes Insipidus
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hypo secretion of ADH by the post pit.
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polyuria, polydipsia, wt loss, hypotension, tachycar, lethargy, confusion
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s/s of diabetes insipidus
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disorder of the post pit
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SIADH - hypersecretion of ADH
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decreased unrine output, n/v, cramps, confusion, seizures
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s/s of SIADH tx with hypertonic solution
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labs for SIADH
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^ urine osmolality, decreased blood osmalality
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function of calcitonin secreted by the thyroid
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targets bone, workd in opposition to parathyroid regulates ca/phosphorus levels
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severe hypothryroid state
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myexedema
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severe hyperthyroid state
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thryoid storm
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autoimmune hyperthyroidism
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grave's disease
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goiter
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protruding adam's apple
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exopthalmos
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bulging eyes
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condition with hallmark signs of heat intolerance
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hyperthyroidism
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s/s of thryoid storm
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105 temp, tachycardia, ^ pulse pressure, shock coma
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lab values for hyperthyroid
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T3 & T4 ^ and TSH decreased
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hyperthryoid tx
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iodine (SSKI), thyroid hormone antagonist (PTU), beta blocker (Inderal)
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post of partial thyroidectomy concerns
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semifowlers, sandbags for head support, trach tray & suction, s/s TETANY (muscle twitching, tingling)
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stunted body growth and mental develpmt during 1st yr r/t congenital hypothyroidism
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cretinism
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condition with hallmark sign of cold intolerance
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hypothyroidism
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types of goitrogens
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turnips, rutabagas, soy, peanut skin, milk from kale fed cattle
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what happens when calcium levels decrese hormonally
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parathyroid releases PTH which breaks down osteoclasts ^ing blood CA
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most common cause of hypoparathyroidism
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damage during thyroidectomy
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what signs should be checked for hypoparathyroidism
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chvostek's and trousseau's
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complicatons of hyperparathyroidism
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long bone fractures, vertebral collapse, kidney stones and PUD
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role of glucocorticoids
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cortisol and hydrocortisone regulate metabolism and stress response
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role of mineralcorticoids
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regulate Na + K balance
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Role of androgens (adrenal glands)
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testosteron, androsterone & estrogen affect growth, development and sex activity
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condition in which all corticosteriods are decreased
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Addison's disease (usually autoimmune)
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s/s of addison's disease
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hypoglycemia, hyponatremia, hypotension, hyperkalemia & tachycardia
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addison's disease treatment
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hyrdrocortisone IV
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corticosteriod therapy rn education includes
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take at same time, w/food. ^calcium and protein and lower fats and simple carbs. report non healing wounds and don't stop abruptly
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proglonged exogenous corticosteroid tx can cause
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Chushing's syndrome
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excessive anterior pit. secretion fo ACTH causes
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Cushing's disease
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s/s of cushing's syndrome
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truncel obesity, thing extremities, moonface, purple striae
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s/s of hyperaldosteronism
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hypertensiona and hypokalemia
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complications of cushings
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glucose intolerance, protein wasting, osteoporosis, immunosuppresion
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s/s of meningitis
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kernig's sign & brudzinski's sign, wide pulse pressure, brady
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cushings triad
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^BP, abnormal RR, bradycardia
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class A spinal cord injury
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no function below LOI
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Class B/C SCI
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sensory only/non-useful motor
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Class D/E
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useful motor/complete recovery
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immediate ventilation for an SCI injury at what level
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C4 & ^
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