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21 notecards = 6 pages (4 cards per page)

Viewing:

endocrine----exam 2

front 1

pituitary gland

back 1

master gland

front 2

anterior pituitary gland

back 2

  • Prolactin
  • adrenocorticotropic hormone (ACTH)
  • growth hormone (GH)
  • Thyroid stimulating hormone (TSH)
  • follicle-stimulating hormone (FSH)
  • luteinizing hormone (LH)

front 3

posterior pituitary gland

back 3

  • anti-diuretic hormone (ADH)
  • oxytocin

front 4

disorders of the pituitary gland can include what?

back 4

tumors

hypofunction

hyperfunction

damage to gland

trauma

front 5

what are pituitary tumors described as?

back 5

benign pituitary adenoma.

  • slow growing
  • unclear etiology

front 6

signs and symptoms can be local or systemic for pituitary glands

Local symptoms

back 6

  • headache
  • visual disturbances with possible blindness

front 7

signs and symptoms can be local or systemic for pituitary glands

systemic symptoms

back 7

  • vague and slow to process
  • personality changes
  • weakness
  • fatigue

front 8

pituitary gland :

diagnosis

back 8

  • complete history and physical exam
  • MRI
  • CT with contrast dye
  • labs
  • Ophthamlmologic exam

front 9

treatment for pituitary glands

back 9

  • hormone therapy
  • radiation
  • surgery-transsphenoidal hypophysectomy

front 10

Hypophysectomy

post op and nursing care

back 10

  • semi-folwers
  • monitor vital sings closely
  • through and frequent neuro checks: LOC, strength, visual changes, and mental status
  • monitor for bleeding
  • nasal drip pad will be placed: monitor the drainage-should be bloody/mucus

front 11

hyper function of the anterior pituitary gland: Acromegaly

back 11

  • over secretion of growth hormone (GH)
  • increase in bone size
  • enlargement of facial features, hands, and feet

front 12

hyper function of anterior pituitary gland: gigantism

back 12

over secretion of GH in children

front 13

hyperfunction of anterior pituitary gland: Prolactin and gonadotropin (FSH&LH) hyper function

back 13

fertility issues

front 14

S/S of acromegaly

back 14

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

front 15

diagnosis for acromegaly

back 15

lab tests-hormone levels

front 16

acromegaly treatment

back 16

  • aimed at cause
  • medications
  • hypophysectomy
  • radiation

front 17

Sheehan syndrome

back 17

rare but serious postpartum hemorrhage

front 18

what does a decrease in growth hormones cause?

back 18

  • leads to short stature
  • results in bone breakdown and increased risk of osteoporosis
  • metabolic problems

front 19

decrease in gonadotropins (FSH,LH)

back 19

  • sexual dysfunction
  • fertility problems
  • testicular failure in men
  • ovarian failure, amenorrhea in women

front 20

dwarfism

back 20

hypo secretion of GH during fetal development or childhood

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

front 21

posterior pituitary gland

back 21

  • diabetes indipidus (DI)- decreased antidiuretic hormone (ADH)
  • syndrome of inappropriate antidiuretic hormone (SIADH)- increased ADH