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36 Cards in this Set

  • Front
  • Back
Gonadatropin-releasing hormone
stimulates anterior pituitary to produce LH, FSH
Growth hormone
regulates bone and tissue growth
ADH
regulates water resorption in the kidneys
Thyroid hormone
regulates metabolism
Parathyroid hormone
regulates calcium balance
Insulin
regulates glucose uptake into cells
red flags that may indicate endocrine problems
growth
metabolism
mental retardation
sexual development (too fast or too slow)
Consistently poor growth
less than 5 cm a year
Growth rate more than ____ standard deviations below (or above) the curve for age
2
head circumference
also looked at for cranial pressure, etc.
Delayed growth
short stature, growth hormone deficiency
Rapid growth
Tall stature, hyperpituitarism (rare in children)
Growth hormone deficiency
- hypopituitarism or dwarfism
- failure of anterior pituitary to produce sufficient growth hormone
- GH is vital for post natal growth
Turner Syndrome
genetic abnormality, chromosomal that causes short stature
Constitutional growth delay
slow growth, but catch up
Chronic renal failure
absorption of vitamins and how body processes those will affects ability to grown as well as specific medications or diet can affect growth
Inborn error of metabolism
PKU, congenital hyperthyroid, stuff born with but there are usually easy treatments (not a cure)
Severe cardiac, pulmonary, or gastrointestinal disease and growth
Absorption, can't breath and pump heart. So all energy is going to run heart, not to eating and growing
Increased urine output
diabetes, diabetes insipidus
Signs of diabetes
polydipsia (excessive thirst)
polyphagia (excessive hunger)
weight loss
Thyroid disease s/s
changes in sleep pattern, weight, energy level
Sign of inborn errors of metabolism
Failure to thrive
Major cause of congenital hypothyroidism
mental retardation
Newborn screening
- tests for approximately 35 inborn errors of metabolism
- to detect congenital anomalies
- has been known to save lives and decrease morbidity
- the sensitivity and specificity is debated (especially since there are different test in different states)
** a secondary prevention, early intervention makes a big difference in quality of life and predictability, etc.
Specific tests for metabolism and endocrine
PKU
Congenital adrenal hypoplasia
Congenital hypothyroidism
Percocious puberty
puberty happens earlier than expected
Delayed puberty
constitutional delay (most common cause for delayed puberty, a hereditary condition)
- turner
- hypogonadism
- anorexia
- cystic fibrosis
Primary sex characteristics
genetically determines, genitals at birth
Secondary sex characteristics
- develop at puberty
- lasts 2-3 yrs
- age 10 fir females
- 11 for males
- females get breasts, body hair, and body fat deposition
- males get body hair, voice change and more body mass
Percocious puberty ages
Female: under 8
Male: under 9
Nursing Care of Percocious Puberty
- Teach child and family about disorder
- child often appears older than chronologic age but can't expect then to be more mature, they aren't, only their body is
s/s percocious puberty
- may have advanced bone age but will be same height or shorter (get pubertal growth spurt earlier on)
- Girls- premature breast development and early puberty
- child often teased by others
- junior high girls are often seen as easy or loose (more physically developed)
Tx for percocious puberty
- hormonal medication treatment (if no underlying disease
- If there us an underlying cause (like hypothamic tumor) then treat the underlying cause, surgery, etc.
*body image issues
*pre and post op care
Normal thyroid levels
6.5-13 uU/mL (T4)

> 5 uU/mL TSH = hypothyroid
hypoglycemia
- behavioral changes, confusion, slurred speech, belligerence
- diaphoresis
- tremors
- palpitations
hyperglycemia
- mental status changes, fatigue, weakness
- dry, flushed skin
- blurred vision
- abdominal cramping, nausea, vomiting, fruity breath odor