Endocrine
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Created by:
maivalange on December 2, 2010
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21 terms
Terms | Definitions |
|---|---|
 Acromegaly-purpose of GTT | Oral glucose given and blood glucose levels measured-glucose will suppress GH levels through a negative feedback process; in normal pts GH levels fall less than 5%; pts with hyperpituitarism will have a large decrease of GH |
| Pre-op teaching for hypophysectomy | No sneezing post-op |
| Acromegaly | Increase GH = enlarged facial features, hands, feet |
| Diabetes insipidus- classic s/sx | Massive diuresis, dehydration, thirst, hypotension, tachycardia, dizziness, decreased skin turgor, weakness, malaise, lethargy, irritability, irregular heartbeat |
| SIADH- tx | Vasopressin |
| Addisons & aldosterone | Regulates secretion of potassium and sodium |
| Nephrogenic DI | Does not respond to ADH even though kidneys produce sufficient ADH |
| Cushings- disturbed body image | Zebra skin |
| Teen with Addisons | No pubic hair |
| Cardinal indication of pheochromocytoma | Hypertension with diastolic of 115 or higher; severe pounding headache; & diaphoresis |
| Addisons- adrenal crisis s/sx | Confusion, tachycardia, hypotension |
| Measurement of ACTH | To see If sending the correct message |
| Addisons- risk for injury | D/T postural hypotension- advise to rise slowly |
| Long term asthmatic with Cushings | Resulted from long term use of steroids |
| Cushings s/sx | Truncal obesity, protein wasting (slender exremeties and very thin and friable skin), moon face, purple striae |
| Cushings nDx | Risk for infection |
| Simmonds cachexia | Muscle and organ wasting |
| Hyperpituitarism NDx | Disturbed body image |
| Post-op hypophysectomy | Strict I&O- pt teaching of self care for discharge |
| Low ACTH | Indication of anterior pituitary problems |
| Life long use of meds | Teach s/sx of side effects |
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