Endocrine

Question 1

What age is normal for the beginning of sexual development in boys and girls?

Answer 1

Girls: 8-13 years old
Boys: 9-14 years old

Question 2

What is the nursing care for children who receive daily injections of biosynthetic growth hormone?

Answer 2

-Injection, daily or alternate days
-Most growth 1st year of treatment
-Rotate injection sites

Question 3

What is the relationship of exercise to glucose levels in children with diabetes?

Answer 3

Better response to insulin and better blood sugar control

Question 4

What is the most common endocrine disorder of childhood?

Answer 4

Diabetes

Question 5

What are the symptoms of hypoglycemia?

Answer 5

-sweating
-shaking
-anxious
-dizziness
-hunger
-tachycardia
-impaired vision
-fatigue/weakness
-headache
-irritable

Question 6

What are the symptoms of diabetic ketoacidosis?

Answer 6

-Hyperglycemia (Diuresis)
-Dehydration (Shock)
-Acidosis (Lipolysis)
-Rapid deep respirations
-Electrolyte imbalances (Can lead to coma)
-Hyperosmolality

Question 7

At what age can children give their own injections?

Answer 7

10 years old

Question 8

What is the treatment for ketones in the urine of a child with diabetes who has been ill?

Answer 8

-ABCs
- Fluid replacement: initial bolus, then maintenance fluids
- Insulin therapy: continuous regular insulin until pH reaches 7.35, D5 solution once glucose < 300 mg/dL, subQ insulin once glucose < 250 mg/dL
-Goal: glucose decreases < 100 mg/dL/hr