Endocrine

Question 1

What hormones are affected by the pituitary gland

Answer 1

Gonadotropin- sex organs
Growth hormone
Thyroid stimulating hormone - metabolism
Adrencorticoptropic hormone- sugar,salt, and sex

Question 2

What are some manifestations of growth hormone deficiency
Growth?
Height?
Teeth? (2)
Sexual development?
Skeletal portions?

Answer 2

Growth stunted after first year
Height stunted
Permanent teeth development delayed
Teeth are malpositioned
Delayed sexual development
Skeletal portion are normal

Question 3

For Growth Hormone deficiency, what is some management for it?

Answer 3

Hormone replacement therapy

Question 4

What are some manifestations for hyperpituiarism

Answer 4

Gigantism
Hyperthyroidism
Hypercortisolism
Precocious puberty

Question 5

What are some growth hormone excess manifestations before the growth plates closes?
Long bones?
Muscles?
Weight/height?
Head? (2)

Answer 5

Overgrowth of long bones
Rapid and increases muscle development
Weight/height increases
Head enlargement
Delayed Fontanel closure

Question 6

What are some clinical manifestations for GH excess after the growth plate closes?

Answer 6

Acromegaly

Question 7

What ages are considered early for puberty

Answer 7

Boys- before 9
Girls- before 6-7

Question 8

What are the types of precocious puberty? (3) and describe them

Answer 8

Central- Normal process of puberty
Peripheral- Secondary sex characteristics, primary sex characteristics are not mature
Incomplete- symptoms of puberty are not caused by a disorder

Question 9

What are some are hormones to help with precocious purberty

Answer 9

Lutron depot injection
Histerlin implant

Question 10

What are some causes of Juvenile hypothyroidism

Answer 10

Thryiodectomy
Radiation treatment
Infection
Dietary deficiency

Question 11

What are some clinical manifestations for juvenile hypothyroidism

Answer 11

Excessive weight gain
Delayed puberty
Lethargy/ sleepiness
Constipations
Decelerated growth

Question 12

What are some managements for the juvenile hypothyroidism

Answer 12

Thyroid hormone replacement

Question 13

What cells in the pancreatis produces insulin

Answer 13

Beta Cells

Question 14

What are some s/s of DMT1

Answer 14

3P’s
Hyperglycemia
Weight loss - ketoacisosis
Irritability

Question 15

What are some s/s of DMT2

Answer 15

3 P’s
Blurred vision
Slow healing wounds
Darkened areas- acanthosis nigricans
Fatigue

Question 16

Which type of diabetes uses oral diabetic meds

Answer 16

Type 2

Question 17

What are some diagnositic levels that indicate diabetes? (4)
FBG?
RBG?
OGTT?
HA1C?

Answer 17

FGB- >126
RBG >200 with s/s
OGTT- >200
HA1C >6.5

Question 18

What are some causes of hyperglycemia

Answer 18

Too little insulin
Illness/ infection
Injury
Stress
Growth
Meds- corticosteroids
Menses

Question 19

What are some treatment for Hyperglycemia (3)

Answer 19

Fluids
Insulin
Monitor glucose more closely

Question 20

What can cause hypoglycemia?

Answer 20

Too much insulin
Diet
Excersise
Growth spurts
Puberty
Illness

Question 21

What are some treatment for hypoglycemia

Answer 21

Give complex carb followed with carb/protein
Glucagon
Rule of 15

Question 22

What is some long term complications of DM (5)

Answer 22

Nephropathy
Retinopathy
Neuropathy
Hypertension
Atherosclerosis

Question 23

If your child is having a temper tantrum, what could it be a sign of?

Answer 23

Hypoglycemia- irritability

Question 24

What are some nursing management for DKA

Answer 24

IV fluids
Electrolyte replacement- K+
Cardiac monitoring
Insulin