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31 Cards in this Set
- Front
- Back
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what two systems are an interconnected network that controls body systems?
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nervous system and endocrine system.
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what is know as the "master gland" or "king"
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Hypothalamus.
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What hormones does the gastrointestinal mucosa produce that are important in th digestive process?
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Gastrin, enterogastrone, secretin, cholecystokinin.
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where is erythropoietin produced?
what does it stimulate? |
it is produced in the kidneys.
it stimulates the bone marrow to produce red blood cells. |
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Where is adrenocorticotropic hormone (ACTH) secreted?
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in the anterior pituitary gland.
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What does ACTH target the adrenal cortex to do.
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increase the secretion of the hormones of the adrenal cortex. (glucocorticoids, mineralocorticoids, androgens)
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what is the link between the nervous system and the endocrine system?
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The Hypothalamus
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Out of the four classes of hormones (Steroid, protein, amine, and fatty acid)
which class interact with receptor sites on the cell surface, which results in stimulation of the intracellular enzyme ADENYL CYCLASE? |
protein hormones
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what class of hormone is hydrocortisone?
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Steroid
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what class of hormone is insulin?
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peptide or protein
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what class of hormone is epinephrine?
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amine
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what class of hormone is retinoids?
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fatty acid derivatives.
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What is the major action of the hypotalamus?
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Controls the release of pituitary hormones by releasing "releasing hormones"
ex: corticotropin-releasing hormone (CRH) ~Thyrotropin-releasing hormone (TRH) ~Growth hormone-Releasing hormone (GnRH) |
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If a patient had an a endocrine disorder, the nurse needs to assess general manifestations, What questions should the nurse ask?
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Questions about
-changes in energy level -changes in the patient's tolerance of heat and cold -recent changes in weight -changes in sexual function, including if their experiencing secondary sex characteristics -changes in mood, memory, and ability to concentrate -altered sleep patterns |
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What are the major hormones of the anterior pituitary?
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-FSH
-LH -prolactin -ACTH -TSH -GH |
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What are all of the hormones in the anterior pituitary controlled by?
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their controlled by releasing factors secreted by the hypothalamus.
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What class of hormone is GH?
What does it do? |
Protein
It increases protein synthesis in in many tissues, increases the breakdown of faty acids in adipose tissue, and increases the glucose level in the blood. |
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What are the important hormones secreted by the posterior pituitary?
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-Vasopressin
-Oxytocin |
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What does Vasopressin control?
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it controls the excretion of water by the kidney.
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a patient recently had radiation to the neck and neck area, after the patient has extreame weight loss, emaciation, atrophy of all endocrine glands and organs, hair loss, impotence, amemorrhea, hypometabolism, and hypoglycemia. What was likely distroyed?
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the total destruction of the PITUITARY GLAND which can happen by trauma, tumor, radiation therapy,
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What is the most common type of pituitary tumor/Adenoma?
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Prolactinoma
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If a child has Gigantism what is hormone is causing it and is there hypo or hyper secretion?
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hypersecretion of Growth Hormone (GH)
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when there is hypersecretion of GH in adults what results?
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acromegaly
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Name 2 priority nursing Dx for patients with any type of tumor treatment with radiation.
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Risk for injury
knowledge deficit |
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what would be a nursing Dx for a patient with any type of tumor treatment with surgery?
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Fluid Volume Deficit
impaired gas exchange Risk for infection Knowledge Deficit |
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What is the leading cause of death in patients with acromegaly?
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Colon cancer
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when a patient has pituitary gland surgery what are some complications?
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transient diabetes insipidus, SIADH, memingitis, infection, cerebrospinal fluid rhinorrhea, hypopituitarism, post op hemorrhage, visual impairment, hyponatremia with SIADH
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What subjective data should you assess in a patient with hyperfunction of the pituitary gland?
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-any sensory alterations, espically vision.
-headache -arthralgia, backache -body appereance changes -change in energy level -psychosocial change -gonadal dysfunction -what meds their on -knowledge level |
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What are the 3 things that hormone release is influenced by?
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-Negative feedback system
-Intrinsic rythmicity -Central nervous system |
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What are the two types of thyroid cells?
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follicular and perafollicular
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What are the adrenal cortex hormones?
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glucocorticoids and mineralocorticoids
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