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19 notecards = 5 pages (4 cards per page)

Viewing:

Endocrine pituitary and thyroid disorders -- exam 2

front 1

disorders of the pituitary gland include

back 1

  • tumors
  • hypofunction
  • hyperfunction
  • damage to gland (trauma)

front 2

pituitary tumors (usually benign tumors)

S/S:

back 2

  • local- on brain, can cause visual problems
  • systemic- vague and slow to progress, personality changes

front 3

treatment for pituitary tumors

back 3

transsphernoidal hypophysectomy (removing the pituitary gland)

-going into the nose, into the pituitary gland

front 4

hypophysectomy :

post op care

back 4

neuro checks (making sure nothings changing-ex: speech)

-monitor for bleeding

-monitor the drainage (should be bloody/mucus)

-do not want to see clear drainage that would be CHS

front 5

Acromegaly

back 5

over secretion of growth hormone (GH)

-increase in bone size

-enlargement of facial features, hands and feet

front 6

Giantism (before puberty)

back 6

over secretion of GH in children

front 7

acromegaly most of caused by

back 7

pituitary tumors which secrete excess amounts of GH

front 8

acromegaly S/S

back 8

  • changes in ring size
  • change in shoe size
  • enlargement of nose, jaw, brow, hands, feet
  • protrusion of jaw and orbital ridges
  • muscle weakness and joint pain

front 9

acromegaly diagnosis

back 9

lab test- hormone levels

front 10

acromegaly treatment

back 10

aimed at cause, hypophysectomy, and radiation

front 11

removing a hormone, a patient will need hormone replacement for the rest of their lives

(T/F)

back 11

true

front 12

decrease in GH

back 12

leads to short stature

front 13

Dwarfism

back 13

results in limited growth- congenital or from damage to the pituitary gland

front 14

Diabetes Insipids (DI)

back 14

does NOT have anything to do with blood sugars!

-decrease antidiuretic hormone (ADH)

-excretion of copious amounts of urine (excessive amount)

-can result in hypovolemic shock if untreated

front 15

diabetes inspipids (DI)

goal

back 15

replace fluid; electrolytes/hormone therapy

strict I&O and daily weights

front 16

(DI) high sodium

back 16

patient may present with seizures, headaches , excess thirst

front 17

SIADH

back 17

excessive amounts of ADH produced

-fluid retention -thick sticky urine

-can be caused by a tumor -overly hydrated

front 18

SIADH s/s

back 18

weight gain, edema, hyponatremia (to much sodium) , high blood pressure, NPO, have to give oral salt tablets

front 19

SIADH treatment

back 19

fluid restrictions, sodium chloride PO, diuretics

-monitor vital signs, daily weights, neuro checks

stick hourly I&O