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B.Pelicano Endocrine System Quiz 1
Semester 2
55
Nursing
Professional
01/29/2015

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Cards

Term
What does GH stand for?
Definition
Growth Hormone
Term
What is another word for Growth Hormone?
Definition
Somatotrophin
Term
What is Acromegaly?
Definition
Disorder of the anterior pituitary where too much GH is being produced in an adult
Term
What is Gigantism?
Definition
Too much GH in a child
Term
What is Dwarfism?
Definition
Deficiency in GH
Hypopituitary
Term
What is ADH?
Definition
Posterior pituitary hormone called

Anti Diuretic Hormone
Term
What is Diabetes Insipidus?
Definition
Disorder of the posterior pituitary where ADH is deficient
Term
If not enough ADH?
Definition
Lose fluid
Polyuria
Polydipsia
Dehydrated
Clear urine
Term
Nursing diagnosis for Diabetes Insipidus?
(lack of ADH)
Definition
Fluid volume defecit
Term
The specific gravity of someone who has diabetes insipidus would be?
Definition
Low
Term
What are some nursing interventions of diabetes insipidus?
Definition
Daily weights
I and O`
Term
What is SIADH?
Definition
Syndrome of increased Anti Diuretic Hormone

Fluid overload
Term
Nursing interventions for someone on SIADH?
Definition
Fluid restriction
Seizure precautions
Term
What would be a key thing to give someone on SIADH?
Definition
Hypertonic solutions to pull fluid out of brain
Term
What is Graves Disease?
Definition
hyperthyroidism

Too much of the hormone
Metabolism racing

Elevated vitals
temp. as well
Overheating

Thyroid may be enlarged
watch voice

insomnia, nervous, jittery, skinny, high appetite fast metabolism

Enlarged thyroid may occur and dysphagia could be an issue
Term
Specific gravity of SIADH would be?
Definition
High
Term
What is the exothalmas?
Definition
Bulging eyeballs associated with graves disease
Term
Diet for Graves Disease would be?
Definition
High calorie, vitamins, minerals
Small frequent meals
Term
What wouldn't you give someone diagnosed with graves disease?
Definition
Caffeine
Term
After a thyroidectomy you would?
Definition
Put pt in semi fowlers
Ask to speak if issue edema or bleeding could be the problem

Check vitals

Low BP high Pulse could mean bleeding

Check back of neck airway may get blocked
Term
After a Pt has a thyroidectomy what is a must at bedside?
Definition
Trach tray and suction
Term
Hypocalcemia (Tetany) is?
Definition
The parathyroid regulates calcium in the blood

Numbness
Chestek Troussea sign
Term
Thyroid crisis or Thyroid storm makes?
Definition
All vitals elevate and can lead to heart failure
Term
What is hypothyroidism?
Definition
Not enough thyroid hormone

Everything slows down everything goes down (vitals)

Sluggish
weight gain
cold
Term
Pt that is hypothyroidism diet would be?
Definition
Low calorie diet due to slow metabolism
Term
What is Myxedema?
Definition
Severe hypothyroidism in adults
Term
Hyperparathyroidism and Hypercalcemia are?
Definition
Go hand in hand too much calcium none in bones

Too much calcium in the blood

Bones are weak pathological fractures
Term
Parathormone too much then?
Definition
Exercise keeps calcium in the bone
Term
Hypoparathyroidism will cause?
Definition
Hypocalcemia
Term
Too much of hormones in the adrenal cortex leads too?
Definition
Cushings disease
Term
What is Cushing disease?
Definition
High Na
High glucose
Low K - Moon face, Fat pad
Term
With Cushings due to high glucose they can become?
Definition
Hyperglycemic and become prone to infection
Term
Addisons is?
Definition
Low sodium low glucose and high potassium

Potential of dehydration
Hypoglycemic
Term
From addisons you can get adrenal crisis and that is?
Definition
Low BP and leads to renal failure from dehydration
Term
Fieldosomapritoma is?
Definition
Too much epinephrine and norepi

Result is dealing hypotension

Treat and take tumor out
Term
Diabetes type 1 is?
Definition
Insulin dependant
No insulin being made
before age 30
child adolescent
Term
Type 1 can cause DKA
Definition
BS up no glucose
Break down fats make ketones (acetones)
can cause diabetic coma
Term
The kidney does what to get out glucose from urine and ketones out?
Definition
Take out alot of water people can get dehydrated
Term
S/S of type 1 would be?
Definition
3 polys
Term
Type 2 diabetes is?
Definition
Not enough insulin
Insulin resistance
Obesity
Term
Type 2 can be treated with?
Definition
PO meds and and diet and exercise
Term
Key thing for type 2 diets?
Definition
Complex carbs with fiber

Regular scheduled meals
Term
HGBA1C is?
Definition
Tells how high glucose level as the past 2-3 months or 8-12 weeks

Anything over 7% is too high
Term
How to manage diabetes?
Definition
Education
How to monitor fingersticks
Type 1 4 times a day fingersticks
Same with type 2 at first

Need to monitor Blood glucose levels regularly

Dipstick urine to check for acetones or ketones
Term
Regular insulin is the only Insulin that can be given?
Definition
IV
Term
Teach pt to rotate signs to avoid?
Definition
Lyphodistrecphy

Better absorption
Less painful
Term
Best site for insulin is?
Definition
Abdomen
Term
Hyperglycemia s/s
Definition
3 polys
Term
Hypoglycemia s/s
Definition
tremors
Term
Two acute complications would be?
Definition
Hyper and Hypo glycemia
Term
In DKA the pt gets a fruity odor where?
Definition
On their breath along with Kussmals breathing
Term
Hypoglycemia anything under 70 and you treat with?
Definition
Simple sugars

Fruit juice
Soda

Glucagon IM or SQ helps liver release glycogen into bloodstream
Term
Infections are also acute?
Definition
Complications
Term
Tips for watching for infections of the feet would be?
Definition
Wash daily
Inspect with mirror if need be
Term
Peripheral Neuropathy would be?
Definition
Long term complications from BS too high decrease bloodflow

Damage to nerves in the feet

decrease sensitivity pain feet touch pressure
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