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10 Cards in this Set

  • Front
  • Back
Hormones of Adrenal Cortex
Mineralcorticoid-Aldosterone
Glucocorticoids-Cortisol
Hypofunction of Adrenal Cortex
Addison disease
Adrenocortical Insufficiency
Autoimmune
Hypotensive, weakness and fatigue, pigmentation of skin (addison’s tan)
Hyponatremia
Hyperkalemia
Hypoglycemia
N/V
Diarrhea
Hyperfunction of Adrenal Cortex
Cushing disease
Excessive Glucocorticoid Production
Altered fat metabolism leads to “buffalo hump,” “moon face”
Muscle weakness
Thin extremities
Osteoporosis
Diabetes mellitus
Hirsutism
Mild acne
Menstrual irregularities
Gastric ulcers
Striae
Hormones of Adrenal Medulla
Norepinephrine
Causes vasoconstriction of blood vessels, inhibition of the GI tract, increased cardiac activity and dilation of pupils
Epinephrine
Causes greater cardiac stimulation and metabolic effects, vasoconstriction is less in skeletal muscles,
Exces production of catecholemines
Pheochromocytoma
Hypertension, headache, hyperhidrosis, hypermetabolism, & hyperglycemia
Hypothyroidism
weakness, fatigue, weight gain, cold intolerance, hair coarse and brittle, loss of lateral one-third of eyebrows, constipation, mental dullness, lethargy, impaired memory, bradycardia, hypoventilation, decreased GI motility, weight gain, nonpitting edema (myxedema)

(severe called myxedema)
Congenital – lead to mental retardation, and impaired growth – cretinism
Acquired – thyroidectomy, radiation, iodine deficiency, autoimmue disorder (Hashimoto’s thyroiditis)
Hyperthyroidism
Graves Disease
Tachycardia, nervousness, irritability, restlessness, hyperthermia, weight loss, heat intolerance, sweating, exophthalmos
Diabetes Melitis
Hyperglycemia
Glucose does NOT cross over muscle and fat membranes like most molecules it needs insulin
Normal Insulin Metabolism
Glucose does NOT cross over muscle and fat membranes like most molecules it needs insulin
Produced by the B cells in the islets of Langherans of the pancreas
insulin secretion increases and moves glucose from the blood into the muscle, liver, and fat cells.
normal glucose=70 to 120
Diabetic Ketoacidosis
Hyperglycemia
Dehydration and electrolyte loss
Metabolic Acidosis
Blood sugar > 250 mg/dL (300 to 800)
pH <7.3
Ketonemia – ketones in blood
Ketouria – ketones in urine
Severe depletion of Na, K, chlorides
Kussmaul’s respirations = rapid, deep breathing associated with dyspnea